Right Hip MRI: There is a heterogeneous appearance to the bone marrow most notably in the proximal femur but also involving the pelvis as well. Mild degenerative changes are noted along the acetabulum. Small amount of physiological fluid is noted with the right hip joint.
MRI Pelvis with & w/out contrast: There is heterogeneous appearance to the bone marrow most predominantly in the hips.
45 yo female with long standing history of auto-immune disorders, including hemolytic anemia >22 years ago, IgG deficiency treated with IVIG x 12 years, ulcerative colitis x 3 years. Also, multiple orthopedic injuries, surgeries, s/p lumbar lam L4-5 now with severe DJD and facet arthropathy, s/p total knee arthroplasty right knee., Family hx includes father who died of systemic vasculitis, had prostate CA, sarcoidosis, mother with cutaneous vasculitis, eczema, psoriasis, nephey with initial diagnosis of juvenile spondyloarthropathy, now classified as RA (on Enbrel). 1st cousin with stage IV metastatic breast CA, cousins with type I diabetes, Marfan's, lupus, and RA.
My question is, what would your opinion be regarding the MRI findings? What further workup should be obtained to definitively diagnose the bone marrow changes "which may represent a marrow replacing process"?
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.