 CHEST:LUNGS AND PLEURA: Bilateral numerous punctate centrilobular micronodules. These can be infectious or metastatic in etiology. An index nodule is in the right upper lobe measuring 4 mm on image number 35, series number 5.MEDIASTINUM AND HILA: Multiple small mediastinal lymph nodes, not enlarged by CT criteria. Index node measures 1.4 x 0.7 cm image number 41, series number 3.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Ill-defined hypodense lesions in the liver. Possibility of metastatic disease cannot be excluded. Further evaluation with MRI is recommended. A hypodense lesion in the right lobe of the liver measures 2-cm in diameter image number 90, series number 3. Cholelithiasis.SPLEEN: Enlarged spleen. Multiple small hypodense lesions in the spleen. Index lesion measures 1.6-cm in diameter image number 108, series number 3.PANCREAS: No significant abnormality notedADRENAL GLANDS: Left adrenal nodule measuring 1.6 by 1.2-cm image number 101, series number 3.KIDNEYS, URETERS: No significant abnormality notedRETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Multiple punctate hyperdense foci throughout the spine suspicious for metastatic disease.OTHER: No significant abnormality notedPELVIS:PROSTATE, SEMINAL VESICLES: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: Lytic lesion in the left sacrum on image number 164 posters number 3, suspicious for metastatic disease. Other smaller lytic lesion are present in the left iliac bone and in some of the vertebral bodies, as seen on T12 vertebral body on coronal image 26 on the left side. Correlation of these findings with bone scan is recommended.OTHER: No significant abnormality noted
Bilateral numerous centrilobular micronodules in the lungs which may represent metastatic disease versus less likely infection.Hepatic and splenic lesions suspicious for metastatic disease. Liver MRI may be helpful for better characterization and evaluation of the liver lesions.Left adrenal indeterminate nodule. Cholelithiasis.Lytic bone lesions in the sacrum and iliac bone suspicious for metastatic disease. Smaller lesions are also noted in the vertebral bodies. Correlation with bone scan is recommended for further evaluation.