37-year-old man with history of peritoneal mesothelioma status post 4 cycles of chemotherapy CHEST: LUNGS AND PLEURA: There are small right and trace left pleural effusion with subsegmental right basilar and lingular atelectasis. There is residual right pneumothorax (7/18), grossly stable in size. No pleural masses or nodules noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: The liver appears normal in signal and morphology. There is no intra or extrahepatic biliary ductal dilatation. The gallbladder is distended and normal.SPLEEN: The spleen appears normal.PANCREAS: The pancreas is normal. There is no pancreatic ductal dilatation.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: The visualized small bowel and colon appear normal without evidence of obstruction.There is extensive enhancing soft tissue within the omentum, predominantly within the anterior left hemiabdomen (25/348). The thickness of this omental soft tissue measures approximately 23 mm in thickness, previously 21 mm in thickness.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Moderate amount of ascites noted.PELVIS:PROSTATE/SEMINAL VESICLES: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Moderate amount of free pelvic fluid noted.
1.Peritoneal soft tissue thickening/carcinomatosis predominantly in the left hemiabdomen stable in size compared to the prior CT accounting for differences in technique.2.Persistent right pneumothorax.3.Ascites and small pleural effusions.