HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

What Does This MRI Report Indicate?

default
Posted on Thu, 1 Dec 2016
Question: I had an MRI last Thursday, due to pain in my right hip. Findings was a 2.7 x 1.8 x 7 cm mass, the radiologist impression is: Hyperintesne geographic lesion is seen of the intertrochanteric femur. Considerations would include enchondroma, fibrous dysplasia or other low-grade cartilaginous lesion. Recommend 6 month follow-up exam to ensure stability.... My issue is that i am a runner and 2 years ago to the date i had an MRI on the same hip, conclusion was hip reaction in the femoral neck, but there was NOT a mass(lesion) on that report. I find this concerning since that is a pretty signifiacant growth rate for 2 yrs... also the radiolgist findings included mild to mderate degenerative changes, no acute fracture or dislocation is seen.
Medical history... when 12 or 13 i had what i called a "cyst" they did bone scan to insure there were no others present. When i spoke to my mother about the enchondroma she said that "enchondroma" sounded familiar to what she remembers of the surgery i had back in the 80's.
I am very concered with the growth rate of 7cm in 2 years.
doctor
Answered by Dr. Dr. Praveen Tayal (44 minutes later)
Brief Answer:
FNAC or excision biopsy needed.

Detailed Answer:
Hello,
Thanks for posting your query.
A 7cm mass in two years with symptoms is worrisome even if it is benign. This mass needs to be investigated for proper diagnosis and treatment. Since you re a runner I will not advise you to wait and watch for its growth in the next scan. You should consider going for an FNAC or excision biopsy to confirm the diagnosis.
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
doctor
default
Follow up: Dr. Dr. Praveen Tayal (16 minutes later)
Could you give an estimate of the typical growth rate of an enchondroma's and estimate of low-grade cancerous lesion's. In most of the case studies that i have read enchondroma's don't typically grow this fast in the later years of life. I tried to get into to see an orthopedic surgeon but they said I need to see a different MD first, although my physician sent an referral for an ortho surgeon. I am just at my wits - end with the run around!
doctor
Answered by Dr. Dr. Praveen Tayal (27 minutes later)
Brief Answer:
Usually the growth is slow.

Detailed Answer:
Hello.
Thanks for writing again.
Enchondromas and a low grade cancerous lesions do not usually grow more than 2-3 cm in a year but exceptions are there and the growth rate can be more also. It is best to consult an orthopedician and plan for a biopsy.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Praveen Tayal

Orthopaedic Surgeon

Practicing since :1994

Answered : 12315 Questions

premium_optimized

The User accepted the expert's answer

Share on

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

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
What Does This MRI Report Indicate?

Brief Answer: FNAC or excision biopsy needed. Detailed Answer: Hello, Thanks for posting your query. A 7cm mass in two years with symptoms is worrisome even if it is benign. This mass needs to be investigated for proper diagnosis and treatment. Since you re a runner I will not advise you to wait and watch for its growth in the next scan. You should consider going for an FNAC or excision biopsy to confirm the diagnosis. 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