More from the MRI apparently

My doc told me about the seminal vesicle (insert bad joke here) - but apparently this last piece of the MRI never got posted. And I can tell you the right iliac crest is killin me today.  (true fact though I had to google half this crap again).  My orginial doc does not believe the large lumpkin is a lymph because it creepily soft and floating which is not the way a lymph will be.  Hope the get it out and biopsy soooooooon.

EXAMINATION: MRI PELVIS W WO CONTRAST

CLINICAL HISTORY: R22.40 Localized swelling mass and lump unspecified lower limb, To evaluate soft tissue mass

TECHNIQUE: Multiplanar multisequence MR images of the pelvis were obtained pre- and post intravenous administration of Gadolinium.

COMPARISON: No prior 

IMPRESSION:

1. Extensive osseous metastatic disease of the pelvis, sacrum and proximal femurs is noted. There is a large lesion in the anterior right iliac crest with large soft tissue component.

2. Enlarged inguinal lymph nodes the largest of which measures approximately 4 cm in the right inguinal region. These would be easily amenable to percutaneous ultrasound-guided biopsy.

3. No pathologic fracture. Asymmetric fullness of the left seminal vesicle. This could represent a metastatic lesion or possibly rare primary malignancy of the seminal vesicle. Enlarged pelvic sidewall lymph nodes. Slightly enlarged right perirectal 
lymph node.

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