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Is "mild Sclerotic Lesions" An Indication Of Malignant Tumor?

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Posted on Wed, 24 Sep 2014
Question: Dear Doctor ,

I hope you are doing well.

My question for you regarding my knees and do I have malignant tumor ???

Last 10 days i fell pain in most of joints and muscles as well . I advised to have XRAY on knees and then MRI on the right knee only ( attached the reports of the xray and mri )

Please tell me you onion and do Have malignant tumour or benign like bone island ??? and is it in on the right knee or both left and right ??? and shall I do further test to my left knee?

I think The x ray report has suspicious of a sclerotic lesion, meaning some form of growth is
happening . but MRI report. From what they have mentioned in the report doesn't look any additional bone growth. They have mentioned about looking at the bones and it seems OK.


Which one I can consider ??? an what shall i do ??? by the way the MRI Doctor issued his report after he check my xray???

Please advise.
thanks in advance with my best regards
XXXX
doctor
Answered by Dr. Dr. Praveen Tayal (37 minutes later)
Brief Answer:
FNAC needed to confirm.

Detailed Answer:
Hello,
Thanks for posting your query.
I have seen all the reports attached. There is no MRI report in these attachments. The mild sclerotic lesions that can be seen on X-rays are not suggestive of a malignancy. These are likely to be mild harmless benign lesions.
Osteoma bone infection or bone island are the more likely causes. It is best to get an FNAC of the area done to fond the proper cause of this lesion. The right leg needs to be investigated.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
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Follow up: Dr. Dr. Praveen Tayal (58 minutes later)
Dear Dr paraveen,

Thanks a lot for your prompt answer and your answer.

Just be so kind if you could have a look to the MRI report which I just attached now and please let me your opinion as well. thanks in advance.

With my best regards from Doha.

XXXX
doctor
Answered by Dr. Dr. Praveen Tayal (6 hours later)
Brief Answer:
MRI does not show any sclerotic lesion.

Detailed Answer:
Hello.
Thanks for writing again.
The MRI report is suggestive of mild degenerative changes in the right knee with some effusion. There is no sclerotic lesion found on MRI. It is best to take a second opinion of the X-rays and MRI films from a radiologist.
Since MRI is a better diagnostic tool than X-rays, there is nothing to worry with these reports.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
Answered by
Dr.
Dr. Dr. Praveen Tayal

Orthopaedic Surgeon

Practicing since :1994

Answered : 12314 Questions

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Is "mild Sclerotic Lesions" An Indication Of Malignant Tumor?

Brief Answer: FNAC needed to confirm. Detailed Answer: Hello, Thanks for posting your query. I have seen all the reports attached. There is no MRI report in these attachments. The mild sclerotic lesions that can be seen on X-rays are not suggestive of a malignancy. These are likely to be mild harmless benign lesions. Osteoma bone infection or bone island are the more likely causes. It is best to get an FNAC of the area done to fond the proper cause of this lesion. The right leg needs to be investigated. I hope this answers your query. In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out. Wishing you good health. Regards. Dr. Praveen Tayal. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal