Statement: Examining doctor: Rosenqvist Kerstin (time for examination: 2021-04-19, 09:55)
DT thorax / abdomen with iv contrast 2021-04-13, 08:56
Thorax: Apically in the right upper lobe, two 6 mm large nodules are seen, metastasis suspected. Upon examination of the previous survey on 7 May 2019, only minimal shyness can be sensed in these premises. A micronodulus dorsally apical in the left lower lobe, unchanged and not suspected of metastasis. No pleural effusion. No enlarged lymph nodes.
Abdomen: No enlarged lymph nodes. Discreet roughness adjacent to the retroperitoneal fascia to the left of the pelvis, is interpreted as travel after radiotherapy. Left groin hernia with herniation of the sigmoid colon, untreated.
The low-attenuating change in liver segment V that was detected in the thoracic examination in May 2019 is difficult to define in today's examination. Metastasis that has regressed or isoattenuating benign change? A small benign cyst and a very discrete low-attenuating change in segment VIII are unchanged. No newcomer or metastasis suspected in the liver at today's examination.
New addition since DT urography June 29, 2015, a rounded, just over 1 cm large, change is seen laterally in the right kidney. Higher attenuation than simple cyst and small kidney tumor may be suspected. Single simple cyst in each kidney as before, benign appearance. No hydronephrosis or hydrourethritis. No focal changes in pancreas, adrenal glands or spleen.
Skeleton: No destruction.
- Two metastasis-suspected lung nodules. New tumor right kidney.
I did recently 2 tests:
PSA 0.66 it increesed from last moth with 0.12 (0.53)
Testtosteron 13 nmol/L soon i will be 70 years 1/6/2021.
George
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Only 2 positive findings (1) two 6 mm size nodules in apex of right lung. (2) One 1 cm size lesion on right kidney.The challenge is to ascertain if these lesions are truly mets or some benign lesions or artifacts. Has your Onc. confirmed these as mets? If yes, what he/she is going to do about these ?
"Examining doctor: Svensson Åse (time for examination: 2021-04-22, 13:39)
MDK urology 2021-04-22
Computed tomography of the thorax and abdomen 13 April 2021 has been demonstrated at MDK for the urology clinic.
Two small metastasis-suspected changes in the upper lobe of the right lung, newcomer compared with 7 May 2019. Tumor-suspected change in the right kidney, newcomer compared with 29 June 2015. Ultrasound-guided biopsy is planned. "
I also have a small lesion in my kidney, suspicious for renal cell carcinoma. I get a CT or MRI every 6 months to look for growth. It's active surveillance without a biopsy.
"Examining doctor: Svensson Åse (time for examination: 2021-04-22, 13:39)
MDK urology 2021-04-22
Computed tomography of the thorax and abdomen 13 April 2021 has been demonstrated at MDK for the urology clinic.
Two small metastasis-suspected changes in the upper lobe of the right lung, newcomer compared with 7 May 2019. Tumor-suspected change in the right kidney, newcomer compared with 29 June 2015. Ultrasound-guided biopsy is planned. "
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