CT SCAN chest, abdomen and pelvis - 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.
[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
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
Resulted:08/06/2014 9:41 AM
Ordered By:Eric Martin Feldman, MD
Result Status:Final result
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