Postby dtre30319 » Tue Apr 11, 2017 1:40 pm
Hello Everyone,
I had my CT scan done today and the results are listed below:
FINDINGS:
CT NECK:
The base of the brain is unremarkable. Minor paranasal sinus disease is visualized, no air-fluid levels. The carotid arteries and jugular veins are patent. The epiglottis, aryepiglottic folds and valleculae are normal. Shoddy subcentimeter lymph nodes, no significant adenopathy is seen. A prominent varix in the left supraclavicular station isnoted, stable from prior studies. No masses or fluid collections. The epiglottis, area epiglottic folds and vallecula are normal. The mastoid air cells and middle ear cavities are normal. The parotid and submandibular glands are normal. The thyroid gland is homogeneous.
Prominent subcentimeter level 5 lymph nodes bilaterally are seen. These lymph nodes are potentially reactive in nature and noted similar to previous studies.
No concerning lytic or blastic osseous lesions or acute compression deformities.
CT SCAN CHEST:
LUNGS, AIRWAY, AND PLEURA:
No dominant nodules, masses, or areas of airspace consolidation is visualized. No new nodules or new masses are seen. Stable scattered calcified granulomas are noted. Scarring or atelectasis in the left lower lobe and left lung base is visualized. The tracheobronchial tree centrally is normal. No bronchiectasis or endobronchial lesion. No pleural effusion or pleural mass.
CARDIOVASCULAR AND MEDIASTINUM:
No filling defects areseen in the pulmonary arteries to suggest pulmonary embolism. Heart is not enlarged. No pericardial effusion or mass detected. No aneurysm or other significant finding. Bilateral symmetric gynecomastia is seen. Stable soft tissue infiltration and skin thickening in the axilla. No new adenopathy or new masses are evident. Sebaceous cyst in the left axilla measuring just over a centimeter on axial slice 19 of series 6 is seen.
MUSCULOSKELETAL AND SOFT TISSUES:
No masses or acute fractures. No new lytic or blastic osseous lesions. No acute compression deformities are evident. Degenerative changes with mild scoliosis is again noted. No new lytic or blastic osseous lesions. No acute compression deformities are evident.
CT SCANS OF THE ABDOMEN AND PELVIS:
HEPATOBILIARY, SPLEEN, AND PANCREAS:
Irregularity of the liver is redemonstrated along with fatty infiltration. An indeterminant area of arterial enhancement within the right lobe of liver on axial slice 56 of series 6 is seen measuring less than a centimeter. Is seen. This may be vascular in nature but is not specifically seen on prior studies. No additional liver lesions are appreciated. No gallstones or biliary dilatation identified. No pancreatic masses or ductal dilatation is seen. The spleen is mildly enlarged but stable in appearance. Multiple collateral vessels are demonstrated.
GENITOURINARY:
Left adrenal adenoma is visualized measuring 2 cm is again noted. The right adrenal gland is normal. No solid renal masses, calculi, or hydronephrosis. No bladder masses or calculi. The prostate is minimally nodular, indenting on the bladder.
GASTROINTESTINAL:
No masses, obstruction, or inflammation. No bowel wall thickening or inflammation. Postoperative changes are demonstrated within the sigmoid colon. Mild constipation pattern is evident. No bowel wall thickening or inflammation. Enteric contrast reaches the right colon.
Mesentery, retroperitoneum, lymph nodes, and vessels:
No significant ascites. The aorta and IVC are intact. No aneurysms.
Soft tissue infiltration surrounding the inferior mesenteric artery is seen on axial slice 37. This area of soft tissue infiltration is similar to prior studies, no adenopathy is specifically seen. Infiltration at the root of the mesentery within the pelvis is noted. No adenopathy or masses are specifically seen. Prominent collateral vessels are seen. Small fat-containing umbilical hernia is noted. Postoperative changes are suggested in the region of the left groin.
No concerning lytic or blastic osseous lesions. Scattered stable bone islands are noted. Mild degenerative changes in the lower lumbar spine are noted.
IMPRESSION:
1. An arterial enhancing lesion may be vascular in the right lobe of the liver measuring less than a centimeter. However, this lesion is not specifically seen on prior studies. The lack of visualization may be technical in nature. If needed, this may be further assessed with MRI scans of the abdomen with Eovist.
2. Soft tissue infiltration surrounding the inferior mesenteric artery is stable from multiple prior studies. Attention to this area is requested on subsequent exams. Findings presumably postoperative. No specific findings of malignancy or metastatic disease. No new pulmonary nodules are evident. Posttreatment changes in the colon are noted.
3. Irregularity of the liver with fatty infiltration. Mild splenomegaly is present. Prominent collateral vessels are seen. The appearance stable from prior studies.
4. Shotty bilateral level 5 lymph nodes in the neck and axillary lymph nodes are presumably reactive.
I have an appointment with the oncologist tomorrow. However, if he says wait and see if the cyst turns into a mass on my liver, should I just seek a second opinion and see if I can get the cyst removed?
8/2014 stage 3B (4 out of 36 lymph nodes)
11/14: started chemo for 12 cycles
4/15: last round of chemo
4/11/17 CT arterial enhancing lesion may be vascular in the right lobe liver
4/12/17: MRI showed no liver lesions.