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What Does "abnormal Red And Yellow Bone Marrow Variations" In An MRI Indicate?

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Posted on Mon, 19 May 2014
Question: I had MRI LS spine and coccyx and was told it shows abnormal red and yellow bone marrow variations at both femoral heads. The nurse practioner who is also my PCP, told me the radiologist said it could be normal for me, or could show something pathological & further MRI testing needed done. A MRI of the pelvis was done and showed same thing. Nurse Practioner just wanted me to wait 6mos and be re-evaluated. I said that if you were previously thinking it could potentially be pathological, why are we waiting 6mos to re-eval without further workup? Well labs were ordered and I had them done yesterday...CBC, ferritin, sed rate. Ferritin and sed rate were normal. The CBC shows...WBC 5.5 RBC 3.92 HGB 11.4 HCT 34.4 PLT 288 NEUTROPHIL% 37.0 LYMPHOCYTE% 57.0 MONOCYTE% 5.0 EOSINOPHIL% 0.0 BASOPHIL% 1.0 and normal morphology for wbc and plts. I haven't heard from the office yet. And maybe I'm just being a worry wart, but when you throw out there possible cancer, tends to make you this way. With the MRI & lab results can you tell if this just normal for me, or should I be worried that I may have something awful like leukemia? Thanks, Worry wart
doctor
Answered by Dr. Indu Kumar (34 minutes later)
Brief Answer:
You have absolutely normal blood findings.

Detailed Answer:
Hello XXXX
Thanks for writing to HCM

You shouldn't worry at all.You have absolutely normal blood reports.
Blood pictures doesn't support leukemia.There must be immature cells in blood.Besides this,leukemia is associated with many other findings like anemia,increased WBC count etc.Findings of leukemia varies with its type but it is relevant in your case.

Abnormal red and yellow bone marrow variations in both femoral heads are non specific findings so your doctor advised follow up after six months to see its progression.

If possible please upload MRI report through attachments of Healthcaremagic with reference to Dr.Indu XXXXXXX Kumar.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Indu Kumar (8 minutes later)
MRI of pelvis report (only one I have copy of) for Dr. In du XXXXXXX XXXXXXX
doctor
Answered by Dr. Indu Kumar (5 hours later)
Brief Answer:
Please find detail answer below.

Detailed Answer:
Hello XXXX
Thanks for writing back

Abnormal red and yellow bone marrow variations in both femoral heads may be due to reasons like age related changes,early Avascular necrosis(AVN).
You need proper evaluation by a orthopedician.
If needed, bone scintigraphy can be done to rule out conditions like early AVN .

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Indu Kumar

Radiologist

Practicing since :2004

Answered : 6729 Questions

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What Does "abnormal Red And Yellow Bone Marrow Variations" In An MRI Indicate?

Brief Answer: You have absolutely normal blood findings. Detailed Answer: Hello XXXX Thanks for writing to HCM You shouldn't worry at all.You have absolutely normal blood reports. Blood pictures doesn't support leukemia.There must be immature cells in blood.Besides this,leukemia is associated with many other findings like anemia,increased WBC count etc.Findings of leukemia varies with its type but it is relevant in your case. Abnormal red and yellow bone marrow variations in both femoral heads are non specific findings so your doctor advised follow up after six months to see its progression. If possible please upload MRI report through attachments of Healthcaremagic with reference to Dr.Indu XXXXXXX Kumar. Get well soon. Hope I have answered your question. Further queries are most welcome. Take Care Dr.Indu XXXXXXX