Conversation: The conversation between human and AI assistant.
[|Human|] I have had chronic knee pain, so went to doctor and had x-ray. He saw nothing on the film, but called back 2 days later and said that the radiologist saw something. I then received a letter that said There is subtle decreased density within the medial femoral condyle. This is nonspecific with underlying marrow lesion not excluded. Recommend further evaluation with non-contrast MRI. A small joint effusion is suspected. There is mild patellofemoral osteoarthritis. Normal soft tissues. My MD said that he felt 90% that it was nothing , but still recommended I go forward with an MRI. I have a high deductible and all of the expense will be out of pocket. I have done some reading on line and understand that marrow lesion is a bone bruise . Here s my question: Are marrow lesions normally associated with malignancy?
[|AI|]  Hi, Thank you for providing the brief history of you. As your doctor mentioned to undergo an MRI, it will be good to undergo, as most MRI shows the soft tissue status and the in-depth understanding. By assessing the knee joint it shows arthritis, for which physical therapy will help. But since you doubt in the malignancy, I will recommend to under the MRI and wait for the results. Sometimes, things are always under control when detected in early stages. Also for your question, that marrow lesions are normally associated with malignancy? I don't think this is true in any case, but always being conscious to rule out each factor is the best way to come closer to the diagnosis. RegardsJay In Chat Doctor.