I can't understand what is this sentence actually means.
There are some vague lucent areas within the left iliac bone perticularly superiorly and near SI joint. The cortex has not been destroyed. This could be an area of encondroma formation or other benign processes but I can not entirely exclude lytic lesions from carcinoma. Bone scan might be helpful in futher evaluation.
Colonic diverticulosis with possible mimimal diverticulitis at the descending colon and to sigmond junction. There is alos narrowing of the colon at the rectosigmond junction. In addition, there are some lucent areas in the left iliac bone near the SI joint. This could be benign enchondromas but oter lyctic defects are not excluded and bone scan is suggested.
++++++++++so this report say " I see suspecious areas and the bottom line is I don't know so go head for more evaluation?" +++++++++++++ Thanks. It means that the radiologist can see some low density areas in your left hip bone , but their appearence suggest a benign and non cancerous process . But to make sure these lucent areas are benign he recommends a nuclear bone scan . If there is no uptake in these areas then they are not cancerous. Diverticulois is pockets in the walls of colon due to aging and is common finding in people more than 50years of age .
What you need is :
Followup with your doctor
Bone Scan
Colon Examination if you havent done one. Have your doctor order a bone scan...seems like the radiologist can not say for sure what it is without additional imaging....hope all is well! As for all diagnostic tests, your doctor should explain these things to you. I would suggest that you contact him and have him break it down for you in English, but, basically, your assessment is correct. There are some areas of interest in both pelvic bones, and they are suggesting a bone scan to confirm what those areas actually are.
The stuff about the colonic diverticulosis and diverticulitis indicates a fairly normal finding depending on one's age, and that you need more fiber in your diet.
I'm not going to get any deeper than that, because that's your doctor's job. He's supposed to explain this kind of thing to his patients. | 