What does "Heterogenous marrow signal is seen in the distal humerous" mean?
This finding is nonspecific
Thanks for your query.
Marrow signal heterogeneity is a very nonspecific finding. It may be entirely normal but may suggest underlying bone marrow disease on the other hand. If the Xray is normal I would suggest you to have full blood counts, kidney and liver function tests first.
If all these are normal, then getting a bone scan will be optional. Another option would be to just followup clinically. If any pain arises later, then to investigate.
Hope I have answered your queries. I will be happy to answer any further followup queries.
Yes, may be due to trauma
Trauma usually causes cortex (the hard bone) abnormalities first and then inner marrow problems but still this can be a result of trauma. In that case nothing is required as the cortex is intact.
I suggest you do Hemoglobin, white cell count and differential, platelet count, urea/creatinine, serum protein, albumin, AST, ALT and alkaline phosphatase at the least.
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