Year old female a history of metastatic thyroid carcinoma and supraclavicular lymph node enlargement LUNGS AND PLEURA: Stable scattered small micronodules with a calcified granuloma in the left paramediastinal region. No new suspicious pulmonary masses or nodules. No evidence of a pleural effusion.MEDIASTINUM AND HILA: Right paratracheal enlarged lymph node (image 28, series 4) now measures 17 mm by 17 mm, previously, measuring 22 mm x 21 mm. Right hilar lymph node cannot be accurately measured without intravenous contrast material.CHEST WALL: Progressive sclerosis involving the T9 osteolytic lesion. A radiolucency is still noted in the T11 vertebrae. MRI of the thoracic spine can better evaluate these lesions.UPPER ABDOMEN: No significant abnormality noted.
1.Interval decrease in the mediastinal lymphadenopathy.2.No suspicious pulmonary nodules. Stable scattered micronodules.3.Progressive sclerosis involving the T9 osteolytic metastasis. Radiolucency is identified in the T11 vertebrae. MRI of the spine is is recommended for better evaluation.