What Do Translational Injury And Stress From My Scan Reports Indicate?

Posted on Mon, 4 Sep 2017

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Mon, 4 Sep 2017 Answered on

Sat, 23 Sep 2017 Last reviewed on

Question : Dear Dr. XXXXXXX xxxxx,
Thank you for your response to my question. I just uploaded one more image of my lumbar spine. The translational injury would mean all 3 columns are affected, correct? Also, what do you mean by "stress"? Could you please explain further? Of course, I was hit by a car as a pedestrian so do you mean "force"? Thank you, XXXXXXX

Answered by Dr. Dr. Praveen Tayal (6 hours later)

Brief Answer:
Please upload the images.

Detailed Answer:
Hello,
Thanks for posting your query.
There is no new image attached to the query. Your previous image does not suggest the involvement of all the three columns. It is a relatively minor fracture with only an end plate impaction. This can be due to the force as you were hit by a car.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Praveen Tayal (40 hours later)

Dear Dr. XXXXXXX Tayal,

I just received my mri report back of a lesion I have in my proximal left femur. During labwork to rule out multiple myeloma it showed up. This was all in relation to my rheumatoid arthritis medication Leflunomide, which had suppressed my bone marrow very low. The oncologist/hematologist said my labwork showed no signs of cancer.

Could you please read the attached labwork and explain a few things to me. Could a lesion with bone marrow signal intensity changes be a fracture or a bone bruise? When I was hit by the car I landed incredibly hard on my backside on the pavement.

Could this be in addition to other injuries, what caused my hamstring and gluteal tendinopathy? I do not have a copy of the actual mri, so I am asking you to interpret the radiology report so I can better understand my injuries in relation to the force of being hit by a car..thank you, XXXXXXX

Answered by Dr. Dr. Praveen Tayal (7 hours later)

Brief Answer:
Not related to the injury.

Detailed Answer:
Hello,
Thanks for writing again.

This is a very small lesion of 9mm- not likely to be related to injury or bone bruise.

The tendinopathy is an age related degenerative change and is not related to the lesion in the femur that can be a small malformation like a small hemangioma.

Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.

Above answer was peer-reviewed by : Dr. Arnab Banerjee