Aa
Aa
A
A
A
Close
Avatar universal

What is my husband diagnosis, bone marrow lesions?

My husband had an MRI in October 2020 with a diagnosis of multilevel degenerative disc disease with facet arthritis, spinal canal stenosis or neural foramina narrowing at multiple levels. He also has dextroscoliosis of lumbar spine and grade 1degenerative retrolithesis at multiple levels. L5-S1 is the most problematic level.

He also had the following finding:  Multiple enhancing osseous lesions involving multiple vertebral bodies worrisome for osseous metastatic disease. The lesions were found at the  L2, L5, and T-10 levels.

Next a CT Scan of the Abdomen and Pelvis showed: No definite suspicious osseous lesion. There is heterogeneity throughout the lumbar vertebral bodies however without discrete focal lesion.

MRI of the abdomen showed 1.2 cm enhancing lesion in the L2 vertebral body and partially visualized L5 vertebral body endplates enhancing lesion.

PET/CT from skull base to mid-thigh showed multiple avid osseous lesions mostly in the upper skeletal structures most likely representing bone marrow lesions in the absence of definite CT correlate.

His bone marrow biopsy showed no abnormal hematolymphoid population. No granulomas and no malignancy identified in the submitted tissue.

All workup for cancer was negative and he was discharged from oncology.

No one has been able to diagnose these lesions.

Could these lesions be modic 1 type changes, hematopoietic bone marrow,  red marrow islands, or atypical hemangiomas?

Anything else?
1 Responses
Sort by: Helpful Oldest Newest
973741 tn?1342342773
Hi!  This sounds like it has been stressful.  Any time you are being evaluated for cancer, that's scary!  I am glad your husband has what appears to be some very thorough and careful doctors.  They sound to have fully evaluated him.  In my reading, lesions of the bone can be from any number of things including infection or fracture.  Yes, tumors as well. But they are often benign as it appears your husbands are.  Did they have any approach to what to do next?  
Helpful - 0
Have an Answer?

You are reading content posted in the Orthopedics Community

Didn't find the answer you were looking for?
Ask a question
Popular Resources
Find out if PRP therapy right for you.
Tips for preventing one of the most common types of knee injury.
Tips and moves to ease backaches
How to bounce back fast from an ankle sprain - and stay pain free.
Patellofemoral pain and what to do about it.
Herpes sores blister, then burst, scab and heal.