can anyone tell me what this mean.?

[Clutch2026]

MRI AND CT DIAGNOSTICS

1554 RIVER BIRCH RUN NORTH

CHESAPEAKE, VA 23320

SEND REPORT TO:

SYDNEY BARRINGTON, P.A.

229 CLEARFIELD AVE STE 200

VIRGINIA BEACH, VA 23462

Name: FRANK J GUNN III

DOB: 05/13/1968 Gender: Male

Exam Date: October 22, 2024

Referring Provider:

SYDNEY BARRINGTON P.A.

CT STUDY OF THE CHEST

HISTORY: 56-year-old male

SYMPTOMS: History of prostate carcinoma

REFERRING DIAGNOSIS: Prostate carcinoma with third rib activity on CT/PET scan outside institution, right lateral third rib. This was present on PET scan of 12/02/2021.

TECHNIQUE: Helical multislice before and after 100 mL Isovue 300. All MRI & CT Diagnostics CT scans are performed using one of these three dose reduction techniques: automated exposure control, adjustment of the mA and/or kV according to patient size, or use of iterative reconstruction techniques.

LAB: Plasma creatinine 1.4 mg/dL, eGFR 81 mL/min, ( diabetes mellitus )

COMPARISON: None at time of dictation. Old studies will be reviewed.

FINDINGS:

Thyroid gland: Normal size.

Thoracic vasculature: Ascending aorta 3.7 cm. Main pulmonary artery normal.

Heart: Upper limits of normal.

Mediastinum/Hila: No adenopathy. 9 mm subcarinal lymph node. Mild fullness/high density within the anterior mediastinum without focal nodule. This may represent thymus rebound or hyperplasia. Per report, this has been described previously.

Tracheobronchial tree: Normal.

Lungs: Right upper lobe anteriorly has a 6 x 5 mm noncalcified pleural-based nodule. Per report, this has been stable without increased activity on PET scan. Right upper lobe anterior segment centrally has patchy ground-glass opacity, some of which is slightly nodular. Minimal ground-glass opacity in the posterior segment also seen. Appearance felt to be inflammatory/infectious and likely metastatic. Left lower lung atelectasis. Calcified granuloma superior segment left lower lobe.

Pleura: No effusions or pneumothoraces.

Upper abdomen: Mild fatty liver. 8 mm hypodensity inferior margin right lobe. Right kidney upper pole 4 mm hypodensity, too small to characterize. Small hiatal hernia.

Soft tissues: No supraclavicular or axillary adenopathy. Minimal symmetric gynecomastia.

Osseous structures: Lower cervical spine degenerative changes, incompletely imaged. Third right rib laterally has a healing rib fracture. No other rib abnormalities identified. Please note, patient demonstrates rib pain on the left at approximately the nipple line and in the lower ribcage region anteriorly. No rib abnormality is identified.

IMPRESSION:

1. Right upper lobe subcentimeter pulmonary nodule. Per report, stable and described as demonstrating no activity on PET scan.

2. Right lung patchy/somewhat nodular ground-glass opacity predominantly in a central location. Finding felt to represent inflammatory or infectious process.

3. Right lateral third rib healing fracture.

4. No left rib abnormalities.

Interpreting Radiologist: Michelle Garnett M.D.

Electronically signed: Michelle Garnett 10/25/2024

Name: FRANK J GUNN III

CT Chest Exam Date: October 22, 2024

~~This report was copied and pasted from the servicing EHR system.~~

[103532]

I am not a doctor, but I take this to mean there are no findings of metastatic prostate cancer. I think it is good news!

[Tall_Allen]

No prostate cancer metastases, but you will need a biopsy of the lung nodule.