How Am I Doing?

How Am I Doing?

The Results Of My Latest CAT Scan:

CT THORAX W CONTRAST 

Study Result

Impression

IMPRESSION:
There is moderately extensive hepatic metastasis.
There are multiple enlarged lymph nodes about the stomach.
Soft tissue density about the posterior aspect of the stomach which may be manifestation of
carcinoma and clinical correlation is suggested.
There is mild dilatation of the ascending aorta and correlation with follow-up is suggested.

Narrative

EXAMINATION:
CT THORAX W CONTRAST

HISTORY:
COPD (chronic obstructive pulmonary disease) history of gastric carcinoma there are moderate
degenerative changes of the thoracic spine

COMPARISON:
CT examination from CT-PET scan done at Saint Anthony Hospital on December 30, 2017

TECHNIQUE:
Axial slices at taken from the thoracic inlet through the domes of the diaphragm.

The patient was
injected with nonionic contrast agent.

Reconstruction images are done

FINDINGS:
The thyroid is heterogeneous suggestive of multiple subcentimeter nodules. The axilla bilaterally is unremarkable.

There are few small nonspecific superior mediastinal lymph nodes. There is no
mediastinal or hilar mass or adenopathy. There is coronary artery calcification. There is trace
pericardial effusion.

There is mild dilatation of the ascending aorta measuring 4.0 cm. There is
no evidence of dissection of the thoracic aorta. There is calcification of the aortic valve, arch
of the aorta and descending aorta.

There is irregular lobulated mass present about the body of the
pancreas extending into the lesser curvature of the stomach measuring 3.9 x 2.8 cm which may
represent a lobulated adenopathy.

There are multiple large low-attenuation mass is present in the
left lobe of the measuring up to 3.6 x 3.2 cm as well as the right lobe of the liver.

There is
low-attenuation mass in the right lobe of the liver measuring 3.4 x 2.9 cm. Numerous additional
low-attenuation masses are present through the right lobe.

There is additional adenopathy present
as well with numerous lymph nodes about the celiac axis representing mildly enlarged adenopathy.
The adrenal glands bilaterally are unremarkable. The central airways bilaterally are patent.

The
lungs are clear of infiltrates. There is no pneumothorax. There is no pleural effusion.

There is
scarring in the left apex which appears stable. There is irregular soft tissue density from the
posterior wall of the stomach which may represent gastric mass.

The bony structures of the
thoracic spine reveal mild degenerative changes.

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