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What Does My Scan Report Indicate?
Question: I have had a skeletal scan due to pain right underneath my buttocks on the left proximal femur. A lesion showed up...but it almost looks like a stress fracture. I was hit by a car that rolled back into me on a hill. I have two endplate fractures and this...could you please tell me what you think it looks like. I took a photo of the film..I cannot upload the disc so please do not ask me to. I am wanting your opinion from these photos please.
Brief Answer:
This is unlikely to be from trauma or stress fracture.
Detailed Answer:
Hi,
Thanks for writing in to us.
There is a small lytic lesion in the proximal shaft of femur which is visualised in the xrays you have sent. The size is less than a centimetre across probably. There are many possibilities for such a lesion and it is difficult to accurately come to a conclusion.
However at your age it is important to know if there are other any such lesions and if it is a bone lesion due to multiple myeloma.
This is unlikely to be from trauma or stress fracture.
Regards,
This is unlikely to be from trauma or stress fracture.
Detailed Answer:
Hi,
Thanks for writing in to us.
There is a small lytic lesion in the proximal shaft of femur which is visualised in the xrays you have sent. The size is less than a centimetre across probably. There are many possibilities for such a lesion and it is difficult to accurately come to a conclusion.
However at your age it is important to know if there are other any such lesions and if it is a bone lesion due to multiple myeloma.
This is unlikely to be from trauma or stress fracture.
Regards,
Above answer was peer-reviewed by :
Dr. Prasad
Multiple myeloma has been definitely ruled out by lab work by an oncologist. This is the exact area I hit the pavement first. The leuflunomide for my rheumatoid arthritis turned out to be the culprit for my peripheral neuropathy...this was confirmed by the hemotologist/oncologist. Could I ask you what looks like ridges in this area?"ABC lytic lesion is thought to be a reactive process secondary to trauma"
from "radiology assistant" website.
from "radiology assistant" website.
Brief Answer:
ABC is less likely at your age however the lesion needs follow up imaging
Detailed Answer:
Hi,
Thanks for writing back with an update.
The ridges are from the pattern of bone mineralisation.
There are many differentials for lytic bone lesions but since the bone lesion which you have in the proximal femur is small, therefore making a preliminary diagnosis is difficult.
An ABC or aneurysmal bone cyst can occur following trauma but it is more common in younger patients. At your age and keeping in mind the size of the lesion, it is difficult to characterise it and give a confirmed diagnosis only by looking at the xray because the lesion is small and it shows structure only in 2 planes. In such cases, we follow up with higher imaging investigations like a CT scan after about 3 to 6 months.
You may talk to your doctor and get a CT scan of the area now so that we can get a better idea of the 3 dimensional characteristics of the bone lesion.
Regards,
ABC is less likely at your age however the lesion needs follow up imaging
Detailed Answer:
Hi,
Thanks for writing back with an update.
The ridges are from the pattern of bone mineralisation.
There are many differentials for lytic bone lesions but since the bone lesion which you have in the proximal femur is small, therefore making a preliminary diagnosis is difficult.
An ABC or aneurysmal bone cyst can occur following trauma but it is more common in younger patients. At your age and keeping in mind the size of the lesion, it is difficult to characterise it and give a confirmed diagnosis only by looking at the xray because the lesion is small and it shows structure only in 2 planes. In such cases, we follow up with higher imaging investigations like a CT scan after about 3 to 6 months.
You may talk to your doctor and get a CT scan of the area now so that we can get a better idea of the 3 dimensional characteristics of the bone lesion.
Regards,
Above answer was peer-reviewed by :
Dr. Kampana
I was at my orthopedic doctor the other day...he said it may include a stress fracture but ordered an MRI to see more detail. I was seeing him for possible surgery for fractures in my lumbar spine at L4/L5 from the MVA trauma. Could you please tell me specifically what type of fractures they are and which force they indicate, for example, shear, etc. Thank you, XXXXXXX
Brief Answer:
Stress fractures happen in areas of bone weakness, normal mechanical stress
Detailed Answer:
Hi,
Thanks for writing back with an update.
Stress fractures are a category of fractures which happen in areas of the bone where there are weak lines due to decreased mineralisation. These usually happen in areas of continuous stress during normal activities.
For example soldiers get stress fractures in meta tarsal bones of feet due to increased stress during marching and walking or running.
Regards,
Stress fractures happen in areas of bone weakness, normal mechanical stress
Detailed Answer:
Hi,
Thanks for writing back with an update.
Stress fractures are a category of fractures which happen in areas of the bone where there are weak lines due to decreased mineralisation. These usually happen in areas of continuous stress during normal activities.
For example soldiers get stress fractures in meta tarsal bones of feet due to increased stress during marching and walking or running.
Regards,
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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