Question: I am having various tests and consults. I have been in severe pain since a sacral colpopexy with mesh last march. I am know applying for disability because of this. I finally got a doctor to help and believe me. She does not know about part of my MRI of the pelvis. I have a fluid collection in front of the sacrum that could be a possible culprit of my pain but she is not convinced I also have spondylolisthesis, grade 1 L5 on S1 and l4 l5 diffuse bulgng disc and pain doctor calls my condition sacroillitis. Please excuse my spelling. So the part of my MRI states mild heterogeneous bone marrow signal in the pelvis and lumbar spine may be due to a heterogeneous bone marrow fat and the collagneous bone marrow. No definite destructive bony lesion. High ETT signal structure on the left gluteus musculature measuring up to 2.8 cm appeared inferior incidentally noted. Could this have to do with my pain? I have had SI joint injections and been in PT for months without much relief. I just seem to getting worse and am growing a tolerance to narcotic pain medication. My doctor, a urogynecologist, who I obtained just recently is helping me get some answers but nothing seems to be outright apparent. I also have trouble with coordinating BM's. I don't think it is related to the pain medication because the stool is soft. the last test I have ordered is a defecography, the GI doc seems to think it is more neurological. So as you can see my case is slightly complicated. My question is really about the MRI and if it is relevent to my pain. Thank you.

Thank you, I am aware that my pain could be due to the fluid and spondylolisthesis. Please tell me I didn't not pay to hear that. I want to know if the findings on the MRI mean anything. I am referring to what I have already quoted;

Mild heterogeneous bone marrow signal in the pelvis and lumbar spine, may be due to a heterogeneous bone marrow fat and collagenous bone marrow. No definite destructive bony lesion. High ETT signal structure in the left gluteus musculature masuring up to 2.8 cm appeared inferior incidentally noted. I don't want to drive myself crazy trying to find this out before I can see the appropriate doctor. I would like you to please tell me what this could mean. Thank you so much

Thank you so much for that. The word heterogeneous scares me. I was thinking it had to do with inflammation of the area too. I wish It was something obvious without having my condition being so non specific. I don't understand how the area doesn't show some kind of inflammation or irritation. Now I want to ask about the fluid. it is described as in the inferior posterior pelvis there is ill-defined fluid immediate adjacent to the sigmoid colon. This is located approximately 1 cm anterior to the sacrum and appears to be intraperitoneal. There is heterogeneous collection measures approximately 2.5 x 3.6 cm. Could this be an abscess? Would I have to worry about it breaking open?

I tried to attach my MRI but don't know if you were able to see it. Thanks for your answers. This has been a frustrating process and wish my problems were obvious. I am a nurse and have been unable to work since the colpopex surgery. The pain is a very intense and deep. everything is so tight in my pelvis area. My knees are starting to hurt from pulling of my IT band. (According to PT). I am open to suggestions. Thanks for your help