History of thyroid cancer and right hip and groin pain: rule out metastatic lesion. There is a partially imaged mass in the right iliac fossa with fluid-fluid levels. There is a lesion with fat signal characteristics in the T12 vertebral body, which likely represents a hemangioma. The vertebral body heights are preserved. There is multilevel degenerative spondylosis with mild spinal canal stenosis and at least moderate right neural foramen stenosis at L3-4. There is also unchanged mild anterolisthesis of L3 upon L4. There unchanged are perineural cysts in the sacral spinal canal and along the extraforaminal left L5 nerve roots. There are also degenerative changes of bilateral sacroiliac joints and including effusion on the right. There are subcentimeter probable left renal cysts.
1. Partially imaged mass in the right iliaca fossa, which may represent a hemorrhagic thyroid metastasis, although this is incompletely characterized without intravenous contrast.2. No evidence of lumbar spine metastases, although the evaluation is limited without intravenous contrast.3. Multilevel degenerative spondylosis with mild spinal canal stenosis and at least moderate right neural foramen stenosis at L3-4. 4. Degenerative changes of bilateral sacroiliac joints and including effusion on the right.Results were discussed with the primary service physician, Dr. Plonka (pager #1044) by Dr. Veronesi of the Radiology service regarding the right iliac fossa lesion at the time of this dictation. 