53-year-old female with metastatic lung carcinoma, status post chemo, please compare to the previous study and evaluate for disease status CHEST:LUNGS AND PLEURA: Right pleural effusion and peripheral airspace consolidation/atelectasis not significantly changed.Reference right middle lobe mass (image 45 series 5) measures 24 mm previously measuring 27 mm.Adjacent satellite reference lesion (image 44 series 5) now measures 9 mm previously measuring 7 mm.Left lower lobe reference nodule (image 35 series 5) now measures 14 mm x 15 mm previously measuring 9 mm x 9 mm.MEDIASTINUM AND HILA: Right internal mammary lymph node previously described is stable at 3 mm in short axis (image 30 series 3).Subcarinal lymph node (image 42 series 3) is stable measuring 9 mm.No new hilar or mediastinal lymphadenopathy.Calcified left hilar lymph nodes compatible with previous granulomatous disease.Cardiac size is normal without evidence of a pericardial effusion.CHEST WALL: Sclerotic rib lesions unchanged.Carotic L1 for T12 lesion unchanged.A superior endplate compression deformity of T11 is new. No definite evidence of underlying metastatic involvement. MRI of the lumbar spine would be of value.ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedPANCREAS: No significant abnormality notedRETROPERITONEUM, LYMPH NODES: Atherosclerotic disease of the aorta and iliac arteriesBOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted
1.Interval increase in size of left lower lobe nodule and right middle lobe satellite nodule suggestive of progression of metastatic disease.2.Stable right middle lobe mass, right pleural effusion and peripheral consolidation/atelectasis.3.Stable L1 sclerotic lesion.4.New superior endplate compression deformity of the T11 vertebrae.