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What does these MRI findings indicate inspite of having osteoarthritis in hip?

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Posted on Mon, 7 Apr 2014
Question: Can you please give me your opinion on this MRI result? They initially were worried about scoliosis or a herniated disk. Now they are sending me to a hemotologist to rule out leukemia and blood disorders, because they are concerned about the findings in the last paragraph. I have no clue what any of this means and now I don't know what's going on with my back or why they are concerned? I do have osteoarthritis in my hip, but I don't know if that had went to my back. I'm thinking it would have showed. Please shed some light. .. Google is not helping this time. .. Thanks Findings: Mild developmental narrowing of the mid to lower lumbar spinal cabal the significance of which is to accentuate disc pathology and associated spondylosis. No evidence for intraspinal mass lesions or focal abnormalities of the cord. Evaluation of the disc spaces reveal mild or early degenerative disc narrowing noted at L2-3 and L3-4 but without evidence for significant disc protrusion or evidence for herniations. The lower lumbar disc spaces are unremarkable in their appearance. There is evidence of mild hypertrophic degenerative changes noted at the L4-5 and L5-S1 facet joints bilaterally but the findings are not associated with significant stenosis of the lateral recesses or of the foramina. The rest of the visualized posterior elements and intervertebral foramina are otherwise unremarkable. There is noted a mild generalized abnormal marrow signal pattern seen throughout the lumbar and upper sacral vertebra. This is best appreciated as a hypointense appearance on the T1 weighted images. This is not associated with deformity in the contour of the vertebra. Although this may be physiologic in nature, an early or subtle myeloproliferative disorder cannot be excluded.
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Answered by Dr. Vaddadi Suresh (2 hours later)
Brief Answer: requires no worry. Detailed Answer: Hi Mrs XXXXXXX I have gone through your results. your MRI shows findings suggestive of mild disease of vertebra that requires no worry. Abonrmal signal intensities from the marrow of vertebral bodies can be because of myeloproliferative diseases like multiple myeloma, but in such cases, MRI usually suggests the diagnosis with lytic lesions, bone erosions and ''reduced signal intensities'' in T1 images. As your MRI showed only the last"" finding, they just wanted to rule out any possible abnormality. It may also be found in some normal individuals with less bone mass. you would also have other symptoms like fever, anemia, pains and fatigue in myeloma, which you do not seem to have and hence and i believe, you have nothing to worry. Anyways, it is impossible to rule out any disease with out confirmatory tests and hence what your doctors are asking is reasonable. Please post if your results are back. All the best.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Vaddadi Suresh (5 minutes later)
I see why they would like me to have a follow up but is it or is it not a big desl? I could see Ii it was a spot on the mri but it's on my lumbar and up my vertebra. And the name they use Myeloproliferative means blood cancers.
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Answered by Dr. Vaddadi Suresh (6 hours later)
Brief Answer: your blood workup should be fine. Detailed Answer: yes, Myeloproliferative disorder is a group which includes some blood cancers; as blood is synthesized in the bone marrow of vertebrae, they may show abnormal patterns in MRI scan if they have malignant cells. As doctors, we tend to leave no stone un turned, and as a result suspect every small thing that is casting a doubt. Remember, this is only in the best interest of the patient. I can assure, you need not worry about it and your blood workup should be fine. All the best.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Vaddadi Suresh

Internal Medicine Specialist

Practicing since :2003

Answered : 963 Questions

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What does these MRI findings indicate inspite of having osteoarthritis in hip?

Brief Answer: requires no worry. Detailed Answer: Hi Mrs XXXXXXX I have gone through your results. your MRI shows findings suggestive of mild disease of vertebra that requires no worry. Abonrmal signal intensities from the marrow of vertebral bodies can be because of myeloproliferative diseases like multiple myeloma, but in such cases, MRI usually suggests the diagnosis with lytic lesions, bone erosions and ''reduced signal intensities'' in T1 images. As your MRI showed only the last"" finding, they just wanted to rule out any possible abnormality. It may also be found in some normal individuals with less bone mass. you would also have other symptoms like fever, anemia, pains and fatigue in myeloma, which you do not seem to have and hence and i believe, you have nothing to worry. Anyways, it is impossible to rule out any disease with out confirmatory tests and hence what your doctors are asking is reasonable. Please post if your results are back. All the best.