I am a smoldering multiple myeloma patient of 5 yrs. I have not yet had any lesions on bones. I receive a bisphosphonate montly via IV and get a Pet/CT scan annually. My lungs "light up" every time, I have nodules, and I had a bronchoscopy 4yrs ago..dx with mycobacterium abscessus. I was on biaxin 500mg a day for about 2yrs. My last pet/ct was February 2016 and showed increased uptake right upper lobe, "probably from peripheral small airway inflammatory changes." A month ago started having severe right shoulder blade pain, neck pain, and chest pain. ER ruled out pulmonary embolism, ekg normal, chest x-ray showed no acute respiratory illness. Saw an ortho doc and he read all of my reports, did full spinal x-ray, physical exam and feels as though pain coming from lung. He ordered mri of right shoulder and thoracic spine to check for osteolytic lesions..I get results tonight. I have a pulmonary appointment scheduled in one week. Last night I noticed slight swelling in my right armpit. Multiple myeloma does not usually present first in the lungs and I am now scared that I have a pancoast tumor or another cancer in addition to the myeloma. The best case scenario if it is cancer would be an osteolytic lesion on the thoracic spine. Would lung or thoracic cancer show up on the thoracic mri or shoulder mri?
Thu, 10/27/2016 - 08:56#1
lung, thoracic cancer, or myeloma - 1289005