Very ungood

FINDINGS:
Lungs and airways: Increasing size of multiple bilateral pulmonary metastases since 03/04/2022. For example:
-- a 2.2 x 1.7 cm metastasis in the medial segment of the right middle lobe (series 3 image 79) has increased from 1.9 x 1.3 cm and is merging with a previously separate 1.5 x 1.4 cm and now partially cavitary metastasis (series 3, image 84) that has also increased from 1.2 x 1 cm;
-- a 1.4 x 1.2 cm metastasis in the left apex (series 3, image 31) has increased from 1.1 x 1 cm
-- a 1.3 x 1.3 cm metastasis in the lingula (series 3, image 78) has increased from 0.1 x 0.1 cm;
-- a 1.2 x 1.1 cm metastasis in the superior segment of the left lower lobe (series 3, image 67) has increased from 1 x 0.9 cm with increased cavitation;
-- a 1.5 x 1.3 cm metastasis in the medial aspect of the anterior basilar segment of the left lower lobe (series 3, image 94) has increased from 1.2 x 1 cm.
No new lesions since 03/14/2022.
Mediastinum, Hila, Nodes: Increasing size and number of several mediastinal and to a lesser extent left hilar nodes since 03/04/2022. For example:
-- new 1.4 x 0.9 cm prevascular node (series 4, image 34);
-- new 1.2 x 0.9 cm high right paratracheal node (series 4, image 37);
-- 1.4 x 1.1 cm aortopulmonary node (series 4, image 46), increased from 1.1 x 1.1 cm;
-- 1.6 x 0.9 cm subcarinal node (series 4, image 57), previously 1.6 x 0.6 cm;
-- 1.3 x 1.2 cm left hilar node (series 4, image 50), previously 0.9 x 0.8 cm.
Telehealth with Dr Formenti tomorrow.
Feeling very bummed right now about the lymph nodes, which heretofore, had not been an issue.
Unless, there is a curative intent, I will not pursue treatment.