CT showed multifocal low (fat) attenuation lesions in the spine, pelvis and
proximal femora.
Reporting body imager recommended MRI.
I would have missed it on T1 and Fat Sat MRI if it were not for the CT.
Would you report this as localized osteoporosis? Multifocal intra osseous
lipoma? Other?
This was a consult from a colleague.
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Someone commented “Incredible? Are there “hot” inguinal lymph nodes?”
Unfortunately, I don’t know what he was thinking…or what I should be
thinking!
I asked my colleague and he said there was “funny unilateral lymphatic
stuff, which oddly leads to chronic, unilateral Rt SI joint fusion”
Just a little bit of this and that? Should I be thinking anything?
Should I be thinking at all?
BTW, the only know hx is a belly ache.
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To address a few comments / questions:
I had asked my colleague if the patient had had treated myeloma or other
malignancy.
I thought this might be post treatment residua—–but there is no history
other than a belly ache.
That doesn’t mean it isn’t so, I’ll try to find out.
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lots of adenopathy