[Attached are 2 reports for your CT test at Kaiser on December 30, 2008. The
first report is on only the neck.
The second report on the chest, abdomen,
and pelvis.]
72 y/o female with metastatic breast cancer currently on Clinical Trial at
UCSF.
.. Technique:
Axial images were acquired at 5 mm slice collimation through the neck after the
uncomplicated administration of intravenous contrast.
.. Comparison: 11/07/2008
.. Findings
The visualized intracranial structures show no evidence for abnormal
enhancement.
.. The visualized portions of the paranasal sinuses are clear.
..
The left side supraclavicular nodes have significantly decreased when compared
to the prior exam. The lymph node measured at image #33 on the prior study is
no longer apparant.
The right sided supraclavicular lymph nodes have decreased in size but are
still prominent. The one measured on the previous exam at 1 cm is now
measuring 9 mm.
..
The subpectoral soft tissue masses on the right are still present. There is
also apparant lymphadenopathy in the right axilla that is incompletely imaged.
There is no nasopharyngeal or oropharygeal mass.
.. The thyroid lobes enhance symetrically. No change in the right thyroid lob
hypodensity.
Focal scarring is again seen in the left lung apex.
.. Impression
Improvement in the lymphadenopathy on the left side with mild improvement on
the right.
Page 1
Examination: 2 of 2
..
72/F Radiology Report
..
CT CHEST, ABDOMEN, AND PELVIS .. HISTORY
72 y/o female with metastatic breast cancer currently on Clinical
Trial at UCSF.
.. Technique:
Standard CT chest, abdomen and pelvis protocol
following intravenous and oral contrast.
.. Comparison: 11/07/2008
.. Findings
Right supraclavicular nodes are described on the accompanying CT
of the neck.
..
Better visualized on this study are the right
prepectoral soft tissues and the right axillary lymph nodes. No
significant change in size when compared to the prior study given
slice selection bias of the more medial node mearsuing 1.6 x 1.5
cm. There is slight increase in size of the more lateral node
measuring 1.5 x 1.6 cm on the current exam. These are measured on
image #13. Additional axillary mixed hazy fat stranding and
nodularity is seen. This is not significantly changed.
..
No left axillary lymphadenopathy.
..
Mediastinum, hilum: Normal
..
Lungs: Ground glass and interstitial thickening in the left apex consistent
with prior radiation unchanged. Additional scarring in the lingula.
..
There appears to be a nodule in the right lower lobe just inferior to the
inferior pulmonary vein. There is partial volume averaging with the vessel
leading to difficulty accurately measuring the nodule. This does appear to be
stable when compared to the prior studies.
..
The ground glass in the right lung base is slightly more prominent. The tiny
right sided nodules are unchanged.
Pleura: Normal
..
Cardiovascular structures: Atherosclerotic disease.
..
The power port appears to be functional on this exam as there was no right
breast extravasation as on the prior exam.
The patient is status post a left mastectomy.
..
Liver: Hepatic dome cyst.
..
Gallbladder: Normal.
..
Pancreas: Normal.
..
Spleen: Calcifications consistent with prior granulomatous
disease.
..
Adrenal glands: Normal.
..
Kidney: No change
..
Bowel loops: Diverticulosis without evidence of diverticulitis.
..
Lymphadenopathy: Not present.
..
Free fluid: Not present.
..
Pelvic structures: s/p hysterectomy.
..
Urinary bladder: Normal.
..
Significant splenic artery calcifications.
..
Bony structures: Degenerative changes. Left sacral Tarlov cyst.
..
Impression
Minimal progression to no change in right axillary
lymphadenopathy.
..
Progression of right base interstitial process; drug reaction
seems likely etiology.
The remaining pulmonary findings are not significantly changed.