History of lung adenocarcinoma. CHEST:LUNGS AND PLEURA: No substantial change in the right paramediastinal and parahilar fibrosis consistent with radiation fibrosis. No new pulmonary nodule, mass or consolidation.Stable nonspecific apparent focus of restricted diffusion along the posterior aspect of the right paramediastinal radiation fibrosis in the right upper lobe (series 13/83), unchanged.Trace loculated fluid in the lung apex and right paramedial base, unchanged. No pleural nodularity or enhancement.MEDIASTINUM AND HILA: Cardiac size is within normal limits without significant pericardial effusion. Aorta and great vessels are normal in caliber.No mediastinal or hilar lymphadenopathy. Residual thymic tissue is identified in the anterior mediastinum.CHEST WALL: No lymphadenopathy.ABDOMEN:LIVER, BILIARY TRACT: Normal liver morphology without a discrete lesion.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: Normal adrenal morphology without a discrete lesion.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
No significant interval change in the right paramediastinal and perihilar fibrosis including the nonspecific small focus of apparent restricted diffusion in the posterior aspect of the right paramediastinal radiation fibrosis changes in the right upper lobe.No evidence of metastatic disease to the abdomen. 