63-year-old female with buccal mucosa cancer, compare to previous CHEST:LUNGS AND PLEURA: Stable mild central lobular emphysema and apical scarring. Stable left upper lobe micro-nodule. Mild scarring is identified posteriorly at both bases as well as in the superior segment left lower lobe. No new pulmonary nodules or masses can be identified. Demonstration of a small left pleural effusion/thickening and minimal pleural thickening on the right. MEDIASTINUM AND HILA: New central Port-A-Cath with its tip at the SVC/RA junction. No hilar or mediastinal lymphadenopathy. Coronary calcification is again noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Numerous stable small hypoattenuating lesions, consistent with cystsSPLEEN: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedPANCREAS: No significant abnormality notedRETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Interval placement of a G-tubeBONES, SOFT TISSUES: There is new partial collapse of the L4 vertebrae with increased density in the L4 vertebrae. No definite pathologic fracture identified. However MRI of the lumbar spine would be more sensitive.Previously noted small sclerotic lesion in the left iliac crest now demonstrates a radiolucent central portion and well defined peripheral rim that is sclerotic and has a benign appearance.OTHER: No significant abnormality noted
1. Interval mild pleural thickening/effusion on the left with mild pleural thickening on the right.2. No evidence of metastatic disease.3. Interval placement of a right central Port-A-Cath and NG tube