71-year-old female with non-small cell lung cancer. Status post several cycles of treatment. New T5 lesion. Back pain and urinary incontinence. Restaging. LUNGS AND PLEURA: Slight interval decrease in right-sided pleural effusion. New atelectasis in the anterior right lung. Multiple pleural based nodules are grossly similar in size. New suspicious pulmonary nodules in right upper lobe measure 7 mm in diameter at images 43 and 44 of series 3. Probable new segmental right upper lobe atelectasis at image 44 of series 3 with ill-defined mass at major fissure. MEDIASTINUM AND HILA: Stable right paramediastinal nodular thickening at the level of the carina measures 34 x 9 mm, (image 32, series 3). Paraesophageal lymph node is stable measuring 25 x 16 mm, (image 64, series 3). Aortic calcifications. Stable subcentimeter left thyroid gland hypodense lesion.CHEST WALL: Lytic lesion in left T5 vertebral body and pedicle at axial image 26 of series 3.ABDOMEN:LIVER, BILIARY TRACT: Subcentimeter hepatic hypodensities are too small to characterize.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Mild lumbar spine degenerative disease.PELVIS:UTERUS, ADNEXA: Status post hysterectomy. Diffuse round calcifications in the left adnexa at axial image 162 of series 3.BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: Degenerative changes in the lumbosacral spine and pelvis.OTHER: Multiple enhancing focal lesions seen throughout the spine and sacrum on the recent MRI exam, concerning for metastatic involvement, are not detected on this CT exam.
1. Pleural-based nodules and right pleural effusion.2. Increased atelectasis anteriorly in the right lung.3. New 7-mm right upper lobe nodules. Lytic lesion in left T5 pedicle. 