18-year-old man with history of metastatic lung cancer. No substantial change in right paramediastinal and parahilar fibrosis consistent with radiation changes. No new pulmonary nodules, masses, or consolidation.Small apparent focus of restricted diffusion noted in the posterior aspect of the focal area of right paramediastinal radiation fibrosis in the right upper lobe (image 480 of the B800 images, series 1006).Please see same-day MRI abdomen dictation for pertinent findings in the abdomen.
No substantial change in right paramediastinal and parahilar fibrosis.Nonspecific small apparent focus of restricted diffusion in the posterior aspect of the focal area of right paramediastinal radiation fibrosis in the right upper lobe. MRI follow-up in 3 months is suggested to reassess this area.