IMPRESSION:
There has been some interval treatment response. There still remain multiple osseous metastatic lesions,
however, the remaining are decreased in activity and some have resolved.
There is also been treatment response in active retroperitoneal/retrocrural lymph nodes. Only a single
upper abdominal retroperitoneal lymph node remains increased in activity. This has decreased in size
compared to the prior exam as well.
Findings:
Head and neck: Physiologic activity is noted in the nasopharyngeal mucosa and salivary glands..
Chest: There is normal distribution of activity in the chest.
Abdomen: There is a increased activity noted in the high left retroperitoneal lymph node. The maximum SUV
of 19, however, this has decreased in size from 1.9 cm to 1.1 cm. Additionally, there were additional
previously noted lymph nodes with increased activity which are no longer identified.
Pelvis: There is normal distribution of activity in the pelvis.
Spine/Extremities: Scattered osseous metastatic lesions are again noted. Small focal area of activity is
noted at C3 with an SUV of 7.1. Left scapular activity is noted with maximum SUV of 3.6. Marked activity
within the T2 vertebra is noted with a maximum SUV of 35. Multiple areas of activity are seen in
scattered ribs. Hypermetabolic activity is also seen in pelvis. However, overall number of lesions have
decreased from the prior exam. Additionally, only a right iliac lesion appears to be associated with
areas of sclerosis.
CT chest, abdomen and pelvis and proximal thigh:
Correlative CT imaging through the chest, abdomen and pelvis demonstrates bilateral nonobstructing kidney
stones. The liver surface appears somewhat nodular.