- Interval development of a larger number of myelomatous lesions with the calvarium as compared to the prior examinations, including disease progression.
- Interval development of a moderate compression fracture of a mid thoracic vertebral body that is likely T6. This is indeterminate for disease progression.
- Again visualized is mild myelomatous involvement of the humeri. The femora are osteopenic with no definite discrete lesions.
- Vertebroplasty has been performed at L2, L3, L4 and L5 is unchanged.
- No dominant lesions are seen within the pelvis or ribs. A healed fracture of the left seventh rib is incidentally noted and was seen previously.
- Severe degenerative narrowing of the C4-5, C5-6 and C6-7 intevertebral disc spaces is visualized with moderate degenerative narrowing of C2-3 and C3-4. The pre-dens speace appears narrowed, and also appears degenerative.
- Progression of disease. A larger number of myelomatous lesions are seen within the calvarium as compared to prior examinations.
- Inteval development of a moderate compression fracture of one of the mid thoracic vertebral bodies. While not necessarily representative of progression of disease, given the new lesions in the calvarium, it may represent disease progression. It is recommended that the patient be examined with complete bone survey with long bones rather than limited bone survey with long bones. This allows better evaluation of the spine and ribs. The level is thought to be T6.