Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
163 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Myeloma patient. Has retropulsion of the posterior vertebral body. Is this traumatic?

I am a myeloma patient - in a recent skeletal survey the radiologist said this: Appears to be some retropulsion of the posterior aspect of the T7 vertebral body, unchanged. This could be post traumatic in nature but would be unusual as this portion of the thoracic cage is well protected. Therefore suspicion of replacement by plasma cell lesion is likely. Do you agree with this?
Mon, 11 Mar 2013
Report Abuse
Question is related to
Diseases and Conditions
Medical Procedures
Lab Tests ,  
Medical Topics ,  
Internal Medicine Specialist 's  Response
Dear friend, welcome and thanks for entrusting your query here at HCM!
I am Dr. Prasad Akole (Critical Care Expert- and am glad to address to your query here.

Trauma is the commonest logical cause of a vertebra being pushed back on to the next one, being strongly connected to each other.
However, as in your case, if there is a likelihood of disease infiltration (by myeloma) of the vertebra, it does not remain as strong and can cause retropulsed appearance even without or with slightest trauma.
So, I do agree with the radiology impression. And they are reporting a film. A clinician is the person who examines and knows the patient and gives opinion on its importance.

Please be guided by your treating doctor.

I hope to have answered your query satisfactorily. I would be glad to answer any further queries.
Please ask for any clarifications before closing and rating this answer.
Take care and please keep me informed of your progress at
Good Luck! Thank you!!
I find this answer helpful
Radiologist Dr. Muhammad Shoyab's  Response
Yes, I do agree, and I'd also appreciate the depth of thought of your radiologist. Indeed, when he looked at your MRI, he didn't look at a plastic film — he had "you" in mind.

However, reading from the report (and without looking at your MRI), I feel that his comment "replacement by plasma cell lesion is likely" is more of a caution than of a possibility. He wrote it so that your clinician doesn't totally exclude the possibility of T7 being invaded by myeloma.

In my opinion, the next step would be to go back to your clinician and discuss with him whether there is any need to further evaluate the T7 vertebra for possible "replacement by plasma cell lesion". This process can be much easier for you if you upload your MRI films in this forum, so that we can have a look at it and can give you a more informed opinion.

I'd welcome further queries for clarification from you. You can easily "ask me a question" by clicking the button above.

Wish you overcome your difficulties and live a peaceful life.
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on

Related questions you may be interested in

doctor1 MD

HI Doctor, My Dad is suffering from multiple myeloma stage 3. Summery is as below. 60 Yrs. Male, known case of DMT2, Plasma cell myeloma with...

Recent questions on  Skeletal survey

doctor1 MD

I have BML (benign metastasizing leiomyoma of the lung) I have had 4 surgeries in 6 years. My last ovary was removed in May and they saw tumors on...

doctor1 MD

2 years ago I was diagnosed with smouldering myeloma due to blood work and bone lesions discovered on the skeletal survey. The latest skeletal...

doctor1 MD

I would like to know why the pathologist feels highly suspicious for plasma cell neoplasm in a background of normal plasma cells? The marrow is...

doctor1 MD

I have multiple myeloma . Recently I had surgery to remove a benign pelvic wall cyst . Blood work before surgery showed my IgG at 1700 and 2wks...

doctor1 MD

I am a myeloma patient - in a recent skeletal survey the radiologist said this: Appears to be some retropulsion of the posterior aspect of the T7...