79-year-old female with a history of metastatic thyroid cancer, please compare to previous CHEST:LUNGS AND PLEURA: Multiple pulmonary nodules demonstrate diffuse increase in the size.Reference left costophrenic nodule (image 240, series 6) measures 8 mm x 6 mm, previously, measuring 6 mm x 4 mm..Focal opacity with branching appearance in the superior segment of the left lower lobe (image 61, series 7) may represent inspissated mucus within a dilated bronchus.MEDIASTINUM AND HILA: Partially visualized heterogeneous thyroid mass is again noted.Prominent prevascular, precarinal, and subcarinal lymph nodes are stable.Moderate coronary artery calcifications with a stent identified in the LAD.CHEST WALL: Sclerotic focus within the manubrium is stable compared to prior exam dated 11/20/10ABDOMEN:LIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: The hypodense lesion in the inferior pole. The right kidney is unchanged and may represent a complex cyst however neoplasia cannot be excluded. Dedicated renal CT and/or MRI is recommended.PANCREAS: No significant abnormality notedRETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted
Multiple pulmonary nodules demonstrating diffuse increase in size compatible with progression of disease. No new sites of disease can be identified.