CT scan results 1/26/15

No Tumor growth!

 

 

CT SCAN abdomen - Details

 

About This Test

Some tests have a standard range; this is the high and low value for a general population. Ask your doctor what your target value should be, based on your own health factors.
Don't need a copy mailed to you? Submit a form to stop (or resume) receiving a paper version of lab results.

• Details

Narrative

[HST]: carcinoid, please do 4 phase CT of liver

CT OF THE ABDOMEN

Multiple axial images of the liver were performed, without IV
contrast. The patient was then injected with 1 25-cc of Optiray 320.
Arterial phase, portal venous phase and delayed phase imaging of the
liver were then performed. Prior study from April 17, 2013
demonstrated multiple enhancing lesions within the liver. The largest
was located within the left hepatic lobe. Lesions were best seen on
the arterial phase.

Lung bases are clear.

Arterial phase images demonstrate findings consistent with resection
of the lateral left lobe of the liver. There is an 18 x 16 mm lesion
within the medial left lobe of the liver, similar to the prior study.
There is a 2.5 x 1.5 cm lesion, near the junction of the right and
left lobe, similar to the prior study. There is a 17 x 17 mm lesion,
near the junction of the right and left lobe, similar to the prior
study. There is a 19 x 18 mm lesion within the right lobe, similar to
the prior study. There is a 16 x 12 mm lesion within the right lobe,
similar to the prior study. Other smaller hepatic lesions, seen on
the prior study, are less apparent on the current examination. There
are no definite new hepatic lesions.

There is intrahepatic ductal dilatation, similar to the prior study.

The spleen has been removed. Portions of the pancreas appear to have
been surgically removed. The remaining portions of the pancreas
demonstrate no abnormality. The gallbladder has been removed. The
left kidney and visualized portions of the right kidney demonstrate
no abnormality. No significant abdominal adenopathy. No free fluid.

There are no suspicious bony lesions

Impression

IMPRESSION:
1. There has been interval resection of the lateral left lobe of the
liver. There are multiple enhancing lesions within the liver, best
seen on the arterial phase and not significantly changed from the
prior study, as described above. There are other smaller hepatic
lesions, seen on the prior study, that are less apparent on the
current examination. No definite new hepatic lesions.
2. Intrahepatic ductal dilatation, similar to the prior study.
3. No significant abdominal adenopathy. No free fluid

__________________________________________
Signed by: Matthew Bloom
Date: 1/26/2015 11:34 AM

Component Results

There is no component information for this result.

General Information

Collected:01/26/2015 11:13 AM
Resulted:01/26/2015 11:34 AM
Ordered By:Eric Martin Feldman, MD
Result Status:Final result

Waiting game and happiness go hand in hand

I'm waiting a bit to see what happens with my interview at Stanford on March 13th. I'm still trying to get into the clinical trial for the advanced Galium 68 scan (Ga68) that will show all the places the cancer is and how large the various tumors are. If they decide after that interview that I am a candidate I'll go back sometime in late March or early April for the scan. There is a small chance that if they approve me for the trial they could do the scan while I'm there in March. If the results of the scan are good news and there is not much more cancer than what we already know about, it is not growing and the locations are not life threatening, I will continue on with my happy life as usual. If the scan shows immanent threats to my life, I will make plans to travel to Germany for the PRRT treatment. I have a friend in Olympia going on February 5th for the treatment. It will be interesting to see if they are able to rid him of cancer completely. His case is very similar to mine. The cost for the treatment in Germany is $30,000 not counting airfare and hotel for 3 weeks the first trip and a possible 3 different trips needed over a 6 month period. It could be fun and my chance to finally visit Europe for the first time.

I did just return from Maui, my second time to the Island. We really enjoyed swimming, snorkeling, whale watching and eating fresh wonderful fruit.

I've been so blessed with relatively good life quality. I watch grandchildren grow, walk every day and continue to eat well and exercise. I get my injections and take my pills and supplements. I chose a new oncologist at SCCA, Dr. Shankaran and still see Dr. Feldman at Group Health.. Monday I get my every 6 month CT scan to monitor for tumor growth. I haven't had any growth since the surgeries over a year ago. I'll report the results of that and of course of the Ga68 when I eventually get to have it. If I don't get into the Stanford study I'll reapply to NIH and to one at UCLA. I'll get in somewhere eventually.

The blessing continues to be that I am more present and aware of all the wonderful things in my life, I am more intentional in my living, I am aware of my thoughts and can often recognize and change limiting ones. I know how to find that still place through meditation, at the beach, walking in the park or just sitting quietly enjoying my home and loved ones. I am more accepting of myself than before and choosing to "like" myself even though my weight gain is a distracting low point. It is amazing that even though I can't help the weight gain due to the compromised pancreas and am so blessed to be alive, I still sometimes lament my size and wish that I wasn't "over weight". I know that it is silly and I don't really obsess about it. I remind myself what a good person I am and how I have goodness flowing through me from the universe all the time. I just let the thought go that I should be a different size. We are all made good. I am truly more aware of being apart of the vast universe and all the energy and goodness that we are a part of. I do feel like a drop in the ocean, a star in the universe, an eternal part of all that is good and loving. Though the body passes on, the soul and energy behind our breath, that part of us that is love moves along forever. At least that feels true to me now and it is a comforting belief. Although I continue to work towards getting into clinical trials and finding the next best steps in my health journey I also just enjoy each moment and the journey along this stretch of life filled with such joys. My husband, parents, children, grandchildren, friends, yoga, pilates, whole foods, cooking, water, gatherings, art, music, dance, travel, gardening, reading, Seahawks....... so much fun and beauty, so many options of how to enjoy ourselves all the time. Not knowing how long we have to enjoy all that we love in this lifetime is such a great invitation to be present in the moment and grateful.