Haven’t talked to my doc yet, but this looks good to me 🙂
These are the results of the scans I’ve had after 4 months of ipi/nivo treatments following Stage 4 diagnosis:
Study Result
Impression
Interval decrease in size of the left hilar adenopathy and pulmonary metastases. The hepatic metastases have decreased in the interim.
The subcutaneous of the peritoneal metastases are noted along the visualized.
Narrative
FULL RESULT:
Examination: CT CHEST ABDOMEN PELVIS W CONTRAST, 2/15/2020 9:42 AM
Clinical History: Secondary malignant neoplasm of liver and intrahepatic bile duct
Secondary malignant neoplasm of bilateral lungs
Secondary malignant neoplasm of bilateral lungs
Metastatic malignant melanoma
Indication: assess for disease response
Comparison: November 9, 2019
Technique: CT of the chest, abdomen, and pelvis was performed with intravenous contrast.
Findings:
Technique: Multidetector helical CT data acquisition of the chest, abdomen and pelvis was performed at 2.5 mm axial slice reconstruction following administration of intravenous and oral contrast material.
COMPARISON: November 19, 2019.
FINDINGS:
CHEST: The heart is normal size.
The left infrahilar adenopathy has completely resolved soft tissue is noted in this region measures 0.3 x 0.5 cm and has decreased in size from 2.5 x 1.6 cm.
The metastatic lesion present within the left lower lobe has decreased in size from 2.9 x 1.5 cm to 0.9 x 0.6 cm.
Abdomen and pelvis: Hepatic metastatic lesion present within segment IV measures 1.4 x 0.9 cm and has decreased in size from 2.7 x 2.3 cm.
There is no intrahepatic or extra hepatic biliary ductal dilation.
The spleen, the adrenal glands and the pancreas are normal.
The kidneys demonstrate symmetric contrast enhancement and there is no evidence hydronephrosis. Stranding is seen within the retroperitoneum along the aorta and the celiac axis, is nonspecific and can be followed. The omental nodule seen on the prior examination is no longer visualized.
Sections through the pelvis demonstrate no fluid collections. There is no pelvic or inguinal adenopathy.
The nodules present within the left gluteal region in the anterior abdominal fat are no longer visualized. No definite skeletal metastases are noted.
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