71-year-old male with history of lung cancer, status post chemo, new left scapular mass, evaluate disease status CHEST:LUNGS AND PLEURA: Multiple pulmonary nodules are again identified. Reference left lower lobe nodule (image 66, series 4) measures 13 mm x 10 mm.Reference right middle lobe nodule (image number 52, series 4) measures 9 mm x 9 mm, previously, measuring 9 mm x 8 mm.Groundglass nodule (image 49, series 4) unchanged from the previous exam.Right subpleural upper lobe nodule (image 46, series 4) 9slightly increased in size, now measuring 12 mm, previously, measuring 10 mm.Volume loss on the left, compatible with a previous left lobectomy. Centrilobular and paraseptal emphysema. MEDIASTINUM AND HILA: Stable reference precarinal lymph node (image 43 series 3) measures 14 mm x 13 mm.Reference right hilar lymph node (image 45, series 3) is stable, measuring 10 mm x 13 mm.Makes size is normal. No evidence of pericardial effusion. There are coronary artery calcifications.Central venous catheter with its tip in the SVC.CHEST WALL: New partial collapse of the T7 vertebrae. No evidence of pathologic.ABDOMEN:LIVER, BILIARY TRACT: Stable multiple small hypodensities most likely representing cysts.SPLEEN: No significant abnormality notedADRENAL GLANDS: Stable small left adrenal nodule.KIDNEYS, URETERS: Bilateral renal cysts that are stablePANCREAS: No significant abnormality notedRETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Left scapular lesion noted on recent MRI exam is not identified on this exam.OTHER: Atherosclerotic disease of the aorta.
1.Multiple pulmonary nodules without significant interval change.2.Partial collapse of the T7 vertebrae. No definite evidence of metastatic involvement.