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sclerotic lesion in the left acetabulum pelvis area
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sclerotic lesion in the left acetabulum pelvis area

Need some guidance.  I just had an IVP  performed and the results show flat plate of the abdomen demonstrates a sclerotic lesion in the left acetabulum which is better seen on oblique views of the pelvis.  This measures in 2 cm in size.  It may represent a bone island but if the patienet has a history of primary malignant further evaluation with a bone scan should be performed.

Help what does this mean in terms I could understand,  
thanks....
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Dear Karthwo, In doing the IVP (an x-ray used to check out the urinary tract) they have seen an abnormality on one of the bones in the pelvis (the acetabulum).  The radiologist is speculating on what the finding might be.  They are stating that it could be a bone island (which is an area of thickness of the bone - which is a non-cancerous finding), another possibility could be that it is an area of metastasis (cancer spread).  If you have a history of cancer that might have spread, they are recommending follow up of this finding with a bone scan, to make sure that it is not cancerous.  If you do not have a history of cancer they would be more inclined to think it is a bone island.
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