63 year old female with metastatic breast carcinoma to liver, pleura, and bone, complaining of shortness of breath, compare to previous CHEST:LUNGS AND PLEURA: Stable pleural thickening and nodularity with contrast enhancement. No pulmonary nodules or masses can be identified.MEDIASTINUM AND HILA: Right paratracheal lymph node now measures 10 mm x 5 mm (image 31, series 4), previously, measuring 12 mm x 6 mm.Redemonstration of a hiatal hernia.Cardiac size is normal. No evidence of pericardial effusion.CHEST WALL: Bilateral breast implants. Partial collapse of the T6 vertebrae, without interval changeABDOMEN:LIVER, BILIARY TRACT: Stable well-defined cystic lesions. However, laterally in the right lobe of the liver. Ill-defined hypodense lesion most likely represents metastatic disease. This is better visualized than on the prior exam and may be related to phase of contrast enhancement.SPLEEN: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Peripelvic cysts versus caliectasis on the left kidney is unchangedPANCREAS: No significant abnormality notedRETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Lumbar metastatic disease noted on the recent MRI exam is not visualized on this CTOTHER: No significant abnormality noted
Stable intrathoracic disease. Better delineated hepatic metastases may be related to phase of contrast enhancement. However, progression of metastatic disease cannot be excluded. Dedicated CT or MR imaging of the liver would be of value.