
MRI Shows A Shadow In Lumbar Area, Have Essential Thrombocytosis. Being Watched For A Month. Is It This Big Deal?

Thanks for posting your query.
You have done well battling MS for so many years. I am sure that you will do well for many more years to come.
The lumbar shadow may be because of various causes- normal variant/artefact, area of bone loss, MS related changes, age-related degeneration, etc.
Probably they thought of myeloma-a malignant bone disease, for which they sent you to a hematologist. He has probably done a serum electrophoresis which has showed small amount of monoclonal protein. Monoclonal protein is secreted by one single clone of 'B' cells in the body as against the normal proteins, which are secreted by a whole lot of 'B' cells and known as polyclonal.
At the age of 72, around 5% of people have a small amount of monoclonal proteins in their blood and need nothing more than follow-up to see whether it is increasing over time or causing any problems like bone defects, anemia, high calcium and kidney failure. Over time, only 5-10% will need some treatment. Others will continue to do fine.
If you can send me the detailed reports, then I may be able to guide you better.
Regards

Answered by

Get personalised answers from verified doctor in minutes across 80+ specialties
