michael68,
A bone island, also called an enostosis, is a common, benign bone lesion which is usually seen as an incidental finding. It constitutes a small focus of cortical bone (compact bone) within the cancellous bone (spongy bone).
It is just a small area, where the body has produced a little bit of hard cortical bone, within the spongy cancellous bone.
True bone islands do not cause any symptoms. They are found incidentally when an x-ray is taken for some other reason.
If there is reason it believe that the enostosis is causing problems, then it needs evaluation, as some other process is going on.
Good luck.