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Heres My last CT scan report guys..

Forums Cutaneous Melanoma Community Heres My last CT scan report guys..

  • Post
    MelanomaMike
    Participant
      Hi yaall, yaay its Friday,!! even though it all feels like a Friday to me everyday haha…if ya all get bored, heres my last CT report, ya, the one that might get me booted off my trial! Fingers Crossed!!..love ya guys…

      CT NECK CHEST ABDOMEN PELVIS W/WO CONTRAST

      DATE OF SERVICE: 12/2/2019

      COMPARISON: 9/25/2019

      RADIATION DOSES: CTDI VOL (1): 3.91 mGy; CTDI VOL (2): 8.25 mGy;
      DLP: 1191 mGy-cm

      PROCEDURE: Multiple axial CT images were obtained from the skull
      base to mid thigh before and after the administration of 100mL of
      Omnipaque 350.

      FINDINGS:
      NECK: The skull base is unremarkable. The previously noted
      air-fluid levels within the bilateral maxillary sinuses has
      resolved. The nasopharynx, oropharynx, hypopharynx and larynx are
      unremarkable. The salivary glands are unremarkable. The thyroid
      gland is unremarkable. No enlarged lymph nodes are identified.
      Scattered subcentimeter bilateral cervical lymph nodes are noted.
      No focal osteoblastic or osteolytic lesion is identified.

      CHEST: The trachea and central airways are patent. Linear scarring
      or atelectasis is seen within the left lower lobe. There is
      evidence of a prior right lower lobectomy. No new, suspicious
      pulmonary nodules are identified. There is no pleural or
      pericardial effusion. The heart is normal in size. Aortic
      calcifications are seen consistent with atherosclerotic vascular
      disease. Coronary artery calcifications are seen. There are
      multiple, prominent mediastinal lymph nodes again seen seen, with
      a rounded contour, concerning for nodal metastasis. For example, a
      right paratracheal lymph node measures up to 0.7 cm, unchanged as
      compared to the prior examination. Additionally, there is
      increased size of multiple prominent and mildly enlarged left
      axillary lymph nodes concerning for nodal metastatic disease. For
      example, a left axillary lymph node (image 21) measures up to 1.1
      cm compared to 0.7 cm on the prior examination. There is increased
      size of 2 subcutaneous nodules seen within the left chest wall
      (image 37 and 30), the largest now measuring 1.1 cm compared to
      0.8 cm on the prior examination. No focal osteoblastic or
      osteolytic lesions are identified.

      ABDOMEN/PELVIS: The liver, spleen, pancreas, adrenal glands and
      gallbladder are unremarkable. A small right renal cyst is seen.
      The kidneys otherwise demonstrate symmetric enhancement without
      evidence of hydronephrosis. There is increased size of a
      heterogeneous soft tissue mass seen arising from the sigmoid colon
      (image 106) now measuring up to 4.7 cm compared to 4.0 cm on the
      prior examination. This mass remains contiguous with the lumen of
      the sigmoid colon. The prostate gland is not enlarged. Aortic
      calcifications are seen consistent with atherosclerotic vascular
      disease. No enlarged lymph nodes are identified within the abdomen
      or pelvis. Surgical clips are seen within the left inguinal
      region. There is increased size of a centrally necrotic mass seen
      within the left abdominal oblique musculature (image 79) now
      measuring 6.0 cm compared to 4.5 cm on the prior examination.
      Additionally, there is a stable 1.1 cm enhancing nodule seen
      within the right gluteus musculature (image 107) concerning for
      metastasis. No focal osteoblastic or osteolytic lesions are
      identified.

      IMPRESSION:
      1. Increased size of a centrally necrotic mass seen within the
      left abdominal oblique musculature consistent with metastasis.
      2. Increased size of two subcutaneous nodules seen within the left
      chest wall consistent with metastasis.
      3. Increased size of a heterogeneous soft tissue mass seen arising
      from the sigmoid colon, which is contiguous with the lumen of the
      sigmoid colon, favored to represent a colonic metastasis over a
      primary colonic malignancy.
      4. Increased size of left axillary lymph nodes consistent with
      nodal metastatic disease. There are stable prominent, rounded
      lymph nodes within the mediastinum also concerning for nodal
      metastatic disease.
      5. Stable enhancing nodule is seen within the right gluteus
      musculature concerning for metastasis.
      6. Status post right lower lobectomy.
      7. Postoperative changes within the left inguinal region.
      8. Atherosclerosis, including coronary artery calcifications.

      Reviewed and Interpreted by: Pareen Mehta 12/2/2019 12:28 PM

    Viewing 6 reply threads
    • Replies
        tedtell1
        Participant
          Mike;
          Damn but that isn’t what we were wanting to see…., well happy weekend to you and I hope that this doesn’t get you kicked of your trial. I am sure Dr. Hamid will come up with a good plan for you going forward.
          Love you brother, keep on keeping on!
          Hey, where do you live in Cali? Wife and I are coming out to San Diego in March, would love to buy you and your lovely wife a meal!
          Ted
          Bubbles
          Participant
            Hey Mike,

            I know it is super scary to see an increase in size in anything we don’t want to be there in the first place, but since even the tumor already biopsied TWICE to determine it is in the process of demise!!!!! – is a bit increased – I am hoping that all the lesions that are appear enlarged on the scan are simply being subjected to an invasion of attacking t-cells and subsequent inflammation created by your new trial drugs!!! Fingers crossed for shrinkage on the 30th!! Hang tough! Love, celeste

            mrhubahuba
            Participant
              Mike
              I have read most of your posts and it appears you are fighting the good fight as they say. The good news is you seem to have the biggest part of this Melanoma crap conquered which is the mental part. In my opinion being positive is the most important aspect in dealing with this. Keep the faith man! Things WILL get better.

              Cheers
              John

              Linny
              Participant
                Dang! There definitely are are some areas of concern. Sorry to see that. I pray that Dr. Hamid will be able to come up with a Plan B for you.
                Julie in SoCal
                Participant
                  What? I know you’re not really “unremarkable” you’re amazing! but dang I really hoped that you could have fooled the scans!

                  Ok seriously, bro. I know growth isn’t what you were looking for and you’d probably kill to be unremarkable. I hear ya.

                  Hang in there and remember your MRF family here loves you!

                  Sending you Peace from Long Beach!
                  Julie

                  lkb
                  Participant
                    Hmm, a necrotic mass that grew? Zombie tumor? Like Celeste, I hope this is just an initial response to the new drugs–with lots o’shrinkage in your near future.
                    Thinking of you,
                    Lisa
                    Scooby123
                    Participant
                      Sorry to hear this Mike, praying that it is treatment which is attacking the tumours. You are a strong man and am sure you will keep fighting and not letting this beat you down. My prayers are with you and sending strength, love and hugs
                      Scooby ❤
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