56 year-old female with metastatic breast cancer to the bone. On chemotherapy (Xeloda) Evaluate response. Restaging. CHEST:LUNGS AND PLEURA: Bilateral decrease in diffuse pleural thickening and resolution of the right-sided minimal pleural effusion. No discrete nodules are identified. Hazy groundglass opacities in the lung bases, more prominent on the right side likely represent dependent atelectasis.MEDIASTINUM AND HILA: Esophagus is slightly dilated.CHEST WALL: Status post right mastectomy. Numerous bone metastases involving the thoracic vertebral bodies, ribs and bilateral scapula. Compression fracture of T7 vertebral body and the T8 vertebral body with metastatic lesions are stable. At the level of the T8 vertebral body there is extension into the spinal canal. This has been evaluated with MRI since the prior exam.ABDOMEN:LIVER, BILIARY TRACT: Numerous new metastatic lesions in the liver. A reference lesion in the right lobe measures 3.1 x 3 cm in image number 78, series number 3.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: A large soft tissue mass destroying the left iliac bone and extending into the left hip joint is stable. Additional numerous extensive mass metastatic lesions involving the thoracic vertebral bodies and pelvic bones are stable.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: Atrophic, but otherwise unremarkable.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Small collection in the right gluteal region seen on the prior exam has resolved or is outside the field of view. OTHER: No significant abnormality noted.
Extensive skeletal metastatic disease is stable. Stable hepatic metastases and interval no change in size of the left iliac bone metastatic lesion.Right gluteal collection is no longer seen. 