Quantcast

incidental MRI finding - red marrow conversion, hypercellularity

This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.

ctts

Full Member
10+ Year Member
Joined
Oct 15, 2010
Messages
135
Reaction score
19
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?
 

SSdoc33

Full Member
10+ Year Member
Joined
Apr 23, 2007
Messages
9,652
Reaction score
3,649
get the patient a new PCP.

i see this all the time. tell the patient. tell them its non-specific, but to discuss with their pcp. send a note to the PCP.

lots of times this is due to smoking or anemia.
 
  • Like
Reactions: 1 user
Top