[dianaiad]

MRI results - bone marrow edema, lordosis preservation?

by dianaiad on Mon Feb 29, 2016 10:48 pm

I just had a full spine MRI done (and the copays on THAT were scary). Mostly I THINK I see a 67 year old spine with lots of arthrosis (gee, what a surprise that was ...not) and I have done a bit of shrinking. Nothing horrific or scary anywhere: nothing broken.

I guess I have a fair amount of spondylosis, too, but that's not a huge surprise, or problem, either.

Two findings, though, confuse me.

First, there's something about "mild bone marrow edema at the tip of the T1 spinous process with surrounding soft tissue edema ...This could represent an early lesion for the patient's known multiple myeloma." The recommendation is a follow up MRI or CT scan in one or two months.

What does that MEAN? Obviously nobody is heavily concerned about it.

Now here's the confusing bit.

"Preservation of the normal lumbar lordosis without abnormal bone marrow lesions suggest involvement of the patient's multiple myeloma."

Uh, huh?

Doesn't 'lordosis" mean, well ... I'm swaybacked or something? Shoot, I've been swaybacked my entire life. I think I was SUPPOSED to be 5'10" (grin)

So how does the preservation of the normal lumbar lordosis without abnormal bone marrow lesions suggest multiple myeloma?

Someone, pretty please, translate?

Thank you.

[dianaiad]

Re: MRI results - bone marrow edema, lordosis preservation?

by dianaiad on Fri Mar 04, 2016 12:16 am

Update:

Doctor B (my oncologist) thinks that 'it might be a typo."

Gee whiz, that helps not even a little bit. Where is the typo? What did someone leave out, or put in, that makes the above sentence utterly unintelligible?

Help?

[blueblood]

Re: MRI results - bone marrow edema, lordosis preservation?

by blueblood on Fri Mar 04, 2016 7:41 am

Dianiad,

Sorry for your confusion. I agree, "Where is the typo?''

I would suggest a PET/CT scan soon to help determine if you have an active lesion(s). I understand your concern about copays. I delayed my diagnosis because I was too stubborn to meet my high deductible. I haven't concerned myself with my high deductible since January 7th of this year when I satisfied it with my first maintenance prescription. That problem is solved.

[lys2012]

Re: MRI results - bone marrow edema, lordosis preservation?

by lys2012 on Sun Mar 06, 2016 10:54 pm

I'm not a doc, but I believe preservation of normal lordosis is good. It means the natural curve of your spine is as it should be. I know in my neck I have arthritis and the natural curve is straightened out and this is always commented on. Also, if you have a fracture, it can interfere with natural curve.