Experience I'm a Doctor of Medicine. Licensed/certified physician and surgeon and specialist in Medical
Oncology and Radiation therapy in Sweden, Denmark, Finland, Iceland, Norway and the European Union. Background in Radiation Therapy, Medical Oncology, Radiation Protection, Nuclear Medicine, Diagnostic Radiology, Gynecological Oncology, Clinical Pathology, Clinical Cytology,Hematology and Internal Medicine.
M.D. from the faculty of medicine, Royal Karolinska Institute, Stockholm, Sweden. Have also been an exchange student at the Hebrew University, Hadassah Medical School, Jerusalem Israel. Former medical consultant, Swedish National Board of Radiation Protection. Former Police Surgeon and Medical Examiner, Stockholm Police Department. Former Chief Medical Officer, The Royal Guards, The Royal Horse Guards and the Royal Household Brigade, Royal Swedish Army Medical Corps. Now in private practice in Stockholm, Sweden.
I also answer questions in these other categories: General History,
Military History,
Brain Tumors,
Breast Cancer,
Colon Cancer
Question I am not even sure if you are the right kind of person to ask about this but I hope you can help.
Today I visited an orthopaedic doctor to receive my MRI results on my right knee. (I had a skiing accident over the new year.) I discovered what was expected - that I have extensive partial tearing and strain of the medial collateral ligament. But there was something that I did not expect and don't understand the meaning of.
Here it is off the report:
"Signal abnormalities within the intramedullary distal femur and proximal tibia as describes above. Most commonly this is related to red marrow conversion and can be see in smokers (I do not smoke) or in patients with chronic medical disease. Much less likely possibilities include diffuse infiltrating bone marrow processes/neoplasms."
Later in the report under findings, it states:
"There is diffuse T1 hypointensity and proton density hyperintensity within the intramedullary bone, including all the visual diaphyses of the distal femur and proximal tibia, and some of the metaphyses with sparing of the epiphysis."
Are these two things talking about the same thing? What does it mean? My doctor seemed unconcerned but I just seem to have a bad feeling about this. Please help me understand what any of this medical terminology means.
Thank you in advance.
Suzanne
Answer This report is somewhat cryptic and unfortunately I'm NOT a diagnostic radiologist! I suggest that you direct this question either to an expert of diagnostic radiology here OR to the radiologist who wrote this report - ask for a clarification! I think that radiologist is under professional obligation to give you one. What is clear is that the changes seen are somewhat unspecified and can be caused by many things (malignancy being only one of thsese).
