I sometimes see on MRI of the spine, radiologist noting red marrow conversion and hypercellularity. What do you usually do when you see this? Some options I have considered are:
1) Ignore if it seems to be incidental finding in otherwise seemingly asymptomatic patient (but how does one ever really know if it is safe to ignore such a finding?).
2) Call PCP, to notify them of finding, and let them handle it as they see fit. (I spoke with a PCP today, and her response was that she has never seen this finding, and will refer to heme-onc for consult, but she said she would review his prior CBCs first before she makes the call).
3) Go ahead and order a CBC with differential.
Thoughts?
1) Ignore if it seems to be incidental finding in otherwise seemingly asymptomatic patient (but how does one ever really know if it is safe to ignore such a finding?).
2) Call PCP, to notify them of finding, and let them handle it as they see fit. (I spoke with a PCP today, and her response was that she has never seen this finding, and will refer to heme-onc for consult, but she said she would review his prior CBCs first before she makes the call).
3) Go ahead and order a CBC with differential.
Thoughts?
