30 year-old female with metastatic Ewing sarcoma. Evaluate for disease progression. CHEST:LUNGS AND PLEURA: Index right lower lobe pulmonary nodule measures 7-mm in diameter image number 46, series number 5. No other lung nodules. Subsegmental atelectasis in lung bases, more prominent on the right side.MEDIASTINUM AND HILA: Index right paratracheal node is slightly increased in size and now measures 15 x 8 mm image number 13, series number 3. Other mediastinal nodes are also stable to slightly increased in size.CHEST WALL: Heterogeneously changes in the right femoral head. These changes can better evaluated on a dedicated MRI.ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: Pancreas is atrophic. Previously identified mass along the superior aspect of the pancreatic body is not visualized. Previously described small cystic lesion in the pancreas is also not well seen.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Lesion in the left midpole of the kidney is smaller measuring 9 x 11 mm image number 96, series number 3.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Small fat containing periumbilical hernia.BONES, SOFT TISSUES: Round nodules in the anterior abdominal wall likely represent injection changes.OTHER: Small fat containing umbilical hernia.PELVIS:UTERUS, ADNEXA: Atrophic uterus.BLADDER: Significant wall thickening of the bladder persists without change and this may represent cystitis.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted. Normal appendix in the right lower quadrant.BONES, SOFT TISSUES: Laminectomy defect, stable.OTHER: No significant abnormality noted.
Right lung nodule is stable.Mediastinal and lymph nodes have remained stable to minimally increased in size.Pancreatic lesions have resolved. Large left renal lesion has not changed in size. Smaller left renal lesions are larger. Diffuse wall thickening of the bladder suspicious for cystitis.Heterogeneous lytic changes in the right humerus, inadequately evaluated with this study. 