Considering new scan instead of going to conference

The summer continues t be very busy with lots of little trips on the boat and around the region that have been fun and lots of babysitting of grandchildren. all good!

I may go to UCLA in a few months for a Galium 68 scan and skip the September conference on NET's. This scan has previously only been available in Europe but is now being offered in a clinical trial basis for about $2500 not counting travel and lodging. I'll post more details later. in the mean time some symptoms have increased causing me a bit of concern even though CT showed no growth. I may be doing a bit too much and not getting enough sleep and down time. Cutting back to 2 days per week babysitting instead of 3 starting late September. Going to SLC, Utah with 3 girlfriends to visit a fourth friend from my old Evergreen State College Days. The 4 of us will hike and camp in some of the national parks in Utah. I'll be among the arches and beautiful scenery.
Peter and I enjoyed our anniversary in Friday Harbor on the boat and stayed at the Friday Harbor House with a wonderful view and great food. We just got back from a few days in Victoria again on the boat with friends. This week end off to Blain on the boat to visit with my brother and see and stay at his new beach house. We'll be at Semiahmoo Marina a nice place we've visited before.

The grandchildren continue to be great joys! Kimani begins his pre-kindergarten readiness program for 4 year olds on Wednesday 9/3. Ayana is not only walking but running at 14 months and Paityn has begun pulling herself up to standing and walking around or pushing items in front of her - not quite walking yet at 10 months.

Life is very good and I'm enjoying every minute of it. Be well!

New CT Scan looks good

CT SCAN chest, abdomen and pelvis - Details

 

Details

Narrative

[HST]: Carcinoid

[SAS]: f/u of lung and liver metastases

CT of the chest abdomen and pelvis

Hx: Carcinoid

IV contrast material was given, 125 cc of optiray 320(low osmolar IV
contrast material).

Neutral density oral contrast was also given.

iso Voxel reconstructed images in three planes

In the lungs it is difficult to demonstrate the few previously
described tiny noncalcified lung nodules. Lymph node anterior to the
left axillary vessels described previously again demonstrated
appearing most similar to exam from 10/2013, about 7 mm in transverse
diameter. AP diameter varies from exam to exam based on this calipers.

Hyperenhancing liver masses are much more conspicuous now than on
several previous exams probably due to more optimal timing of the
bolus for demonstrating these. They measure on the order of up to 3
cm in diameter. Difficult to assess for changes because of the very
faint appearance previously compared to today's exam.

Postsurgical changes in the upper abdomen are again demonstrated.

A a mass in the posterior lateral superior left gluteal soft tissues
is less prominent than on 2/2014 exam. There is another in the
posterior superior right gluteal subcutaneous tissues that is now
larger and contains some gas. Is the patient getting injections? It
measures about 2.5 cm in diameter.
This is from my monthly injections.
Very similar appearance to the osteoblastic bone lesions described
previously.

Impression

IMPRESSION:
1.Very little change in appearance of the CT scan since 2/2014.
Hypervascular liver lesions are much more conspicuous now but
primarily due to more optimal timing of the injection bolus.


______________________________________
This is very good news!!!


Electronically signed by:JOSEPH G DUFFY, MD
Date: 08/06/2014
Time:09:41

Component Results

There is no component information for this result.

General Information

Collected:08/06/2014 9:00 AM
Resulted:08/06/2014 9:41 AM
Ordered By:Eric Martin Feldman, MD
Result Status:Final result