CONTACTS 

SUBJECTS
Examination Treatment Cetuximab 3rd Treatment 7th Cycle Chemotherapy

0903 -
0903 -    ..
0904 - Summary/Objective
0905 -
090501 - Follow up ref SDS 25 0000, ref SDS 24 0000.
090503 -  ..
090504 - Brigid advised today that Doctor Rugo determined Millie is doing well
090505 - enough that interim examinations by the medical team will not be
090506 - needed until there is evidence showing progression of disease.
090507 -
090508 -
090510 -  ..
090511 - Brigid submitted the report on the CT test performed at Kaiser on
090512 - 070723, and ordered on 070719.  The last CT test was on 070520, and
090513 - reviewed at UCSF on 070524. ref SDS 23 EY5O
090514 -
090515 -            [On 071018 received next CT test. ref SDS 27 4N7K
090517 -         ..
090518 -        Test History No Evidence Distant Metastasis
090519 -        Distant Metastasis No Evidence 5 Years Imaging Tests
090520 -
090521 -        Follow up ref SDS 23 DA8O, ref SDS 22 DA8O.
090522 -
090523 -        Type    Date           Received          Source
090524 -         CT     070723 reported on 070802........... ref SDS 0 IM6M
090525 -         CT     070520 reported on 070524........... ref SDS 23 DA6Q
090526 -         CT     070326 reported on 070329........... ref SDS 22 DA6Q
090527 -         CT     070131 reported on 070202........... ref SDS 21 1Y8G
090528 -         PET/CT 061227 reported on 070102........... ref SDS 20 1Y8G
090529 -         CT     060930 reported on 061012........... ref SDS 19 284J
090530 -         MRI    060708 reported on 060711........... ref SDS 18 PT4K
090531 -         Xray   060623 reported on 060711........... ref SDS 18 WJ6G
090532 -         CT     060505 reported on 060523........... ref SDS 17 E355
090533 -         PET    060414 reported on 060428........... ref SDS 16 WJ6G
090534 -         PET    060120 reported on 060126........... ref SDS 15 WJ6G
090535 -         PET/CT 051005 reported on 051007........... ref SDS 14 WJ6G
090536 -         CT     050530 reported on 050610........... ref SDS 13 G75L
090537 -         CT     050325 reported on 050422........... ref SDS 12 G75L
090538 -         CT     041217 reported on 041230........... ref SDS 11 G75L
090539 -         CT     041103 reported on 041104........... ref SDS 10 WV7H
090540 -         CT     040921 reported on 041005........... ref SDS 9 NL4N
090541 -         CT     040710 reported on 040811........... ref SDS 8 H85S
090542 -         CT     040410 reported on 040416........... ref SDS 7 LK5L
090543 -         CT     040307 reported on 040318........... ref SDS 6 LK5L
090544 -         CT     031031 reported on 031205........... ref SDS 5 IG9K
090545 -         CT     030626 reported on 030710........... ref SDS 4 AL6N
090546 -         CT     030428 reported on 030508........... ref SDS 3 LK5L
090547 -         PET    021218 reported on 030109........... ref SDS 2 LK5L
090548 -         PET    020529 reported on 020603........... ref SDS 1 0001
090549 -
090550 -
090552 -         ..
090553 -    1.  Patient
090561 -         ..
090562 -    2.  CT test chest, abdomen, and pelvis (digital)
090567 -         ..
090568 -        Date:  070723 1323
090570 -         ..
090571 -        Performed in:  WCM
090577 -         ..
090578 -    3.  History
090579 -
090580 -        History of metastatic breast cancer.
090582 -  ..
090583 - Test report continues to err, repeating prior mistakes failing to note
090584 - patient history of pulmonary embolism and enlarged right ventricle
090585 - (core pulmonale), failing to apply standards implemented for Kaiser's
090586 - CT test on 060930, reported on 061012. ref SDS 19 2857
090588 -  ..
090589 - CT test 070723 report continues...
090590 -
090591 -    4.  Technique:
090592 -
090593 -        Following administration of dilute oral and non-ionic
090594 -        intravenous contrast,images were obtained throuigh the chest,
090595 -        abdomen, and pelvis.
090597 -         ..
090598 -    5.  Comparison:
090599 -
090600 -        Comparison is made to study from May 20, 2007.
090602 -  ..
090603 - Test on 070520 was reviewed at UCSF on 070524. ref SDS 23 EY5O
090605 -  ..
090606 - CT test 070723 report continues...
090607 -
090608 -    6.  Findings
090609 -
090610 -        CT chest...
090611 -
090612 -        No significant interval change in comparison to prior study.
090613 -        Four scattered pulmonary nodules measuring between two and 3 mm
090614 -        are unchanged.  No new pulmonary nodules identified.  Left
090615 -        apical groundglass opacities with associated septal thickening
090616 -        is stable in appearance and is likely due to post inflammatory
090617 -        scarring.  There is no mediastinal, hilar, or axillary
090618 -        lymphadenopathy.  There is no plueral or pericardial effusion.
090619 -        Status left mastectomy.  Night anterior chest wall port-a-cath
090620 -        is again visualized.
090622 -  ..
090623 - Finding of "...likely due to post inflammatory scarring," requires
090624 - clarification on "post" to what, and what "inflammatory scarring,"
090625 - since patient history has no findings of this condition.  What would
090626 - have caused "inflammatory scarring," and when did it occur?
090628 -              ..
090629 -             [On 071018 CT test on 070930 reports some interstitial
090630 -             prominence and ground-glass opacity within the right lower
090631 -             lobe medially, is slightly increased, seems conflicting
090632 -             with the CT test on 070723 reviewed today that makes no
090633 -             finding of interstitial disease, which was expressly found
090634 -             not to exist in the prior test on 070520, reviewed on
090635 -             070524. ref SDS 23 SP3F
090637 -  ..
090638 - CT test 070723 report continues...
090639 -
090640 -        CT abdomen and pelvis:
090642 -         ..
090643 -        2 cm hepatic dome cyst is unchanged.  No new hepatic lesions.
090644 -        Multiple splenic calcification.  Calcified splenic aneurysm is
090645 -        unremarkable.  No intra or extra hepatic bile cudt dilatation.
090646 -        Symmetric nephrograms are present without hydronephrosis.
090647 -        There is no lymphadenopathy or free fluid.  Sigmoid predominant
090648 -        diverticular disease.  No destructive osseous lesions.  The
090649 -        uterus is surgically absent.
090651 -         ..
090652 -    7.  Impression
090653 -
090654 -        No significant interval change in comparison to the prior
090655 -        study.  No CT evidence for progression of metastatic disease.
090657 -         ..
090658 -        Myrtha Cesar, MD
090659 -
090660 -
090661 -
090662 -
090663 -
090664 -
090665 -
0907 -