I have attached my knee Xray report which mentions Sclerotic lesion and bone island. I have mild pain in both my knees since last few months. The pain is very high if I kneel down on hard surface due to my heavy weight. Its becomes somewhat difficult to climb up or down. I dont remember of any serious knee or leg injury (though I have plantar fascitis). I am 5.10 tall and 98 kg heavy. Not sure of my Calcium levels as my dairy consumption is low. Is my Xray report serious or manageable with medications?