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@dcuste

Happy New Year to you too. Hope you are doing well.

I had a PET scan a few years ago that was pretty clean. My Hematologist/Oncologist suggested another PET. We talked skeletal scan too, but I convinced to go with MRIs on Pelvis and lower spine with and without contrast. It's been 8 days since the scans and I only have the results of Pelvis with contrast so far.
Here is a Summary of MRI Findings....

Avascular Necrosis (AVN) of Both Femoral Heads:

Key Finding: There is evidence of AVN in both hips, which means compromised blood supply to the femoral heads leading to bone damage.
Good News: There is no collapse of the articular surface, indicating early-stage AVN.

Intertrochanteric Lesion in Left Femur:

Key Finding: An 8 mm rounded lesion is seen in the proximal left femur.
Interpretation: The lesion is T1/T2 hyperintense, possibly containing internal fat, which suggests it is likely benign. However, it is too small to characterize definitively.

Labrum of Left Hip:

Key Finding: Linear signal at the base of the anterosuperior labrum could indicate degenerative fraying or tearing, likely age-related.
Clinical Relevance: May contribute to hip pain or restricted movement.
Degenerative Changes in the Spine and Pelvis:

Pubic Symphysis and Sacroiliac Joints:

Mild degenerative changes noted, but no active sacroiliitis (inflammation).
Lower Lumbar Spine:
Advanced degenerative disc disease with levoscoliosis (leftward curvature of the spine).

Hamstring Tendons:

Key Finding: Mild tendinopathy of the hamstring origins.
Clinical Relevance: Likely not causing significant symptoms but could contribute to discomfort.

Left Inguinal Hernia:

Key Finding: Small fat-containing inguinal hernia on the left side.
Clinical Relevance: Unlikely to be symptomatic unless causing pain or other issues.

I wasn't expecting any of this. I have childhood friends that abused there bodies and are now paying the price. I've always been careful not to overdo it.
I'll wait for the other MRI results before I talk with my doctors, but right now I think the lesion may be MGUS related, but don't know. The biggest issue may be AVN. After a lot of research, my guess is both the AVN and possibly indirectly the MGUS, were caused by getting injected with steroids averaging 127mg/day for 43 days, 3 years ago. This was done to fight life threatening pneumonia.

Yes. Please stay in touch and let me know how your scan and BMB go. I'll let you know if anything new happens with me. I passed on the BMB earlier, but will reconsider once I get more test results. Good Luck. Hope your results are better than mine.

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Replies to "Happy New Year to you too. Hope you are doing well. I had a PET scan..."

@dcuste
Please let me know after you discuss all this with your physician and get the final diagnosis. MGUS, SMM etc. The bone lesions are concerning as my hematologist mentioned that is why he requests periodic CT scans. Please feel free to PM (private message) me if you don’t feel comfortable sharing information on the forum. I won’t get the results of the low dose skeleton scan and BMB until I see the doc on Feb 4th. I have always done a lot of heavy lifting so as you mentioned, I may be paying the piper now. I also have degenerative disc disease and had an Inguinal hernia repaired in 2017 and femoral hernia repaired in 2014. I find that the Qunol turmeric I am taking keeps the inflammation and pain at bay better than any drug and may also be good for the MGUS according to the clinical trials. We’ll see. I will keep you in my prayers!