Recent CT abdomen and pelvis scan to check for SLL progression, June 7, 2024 (part 1 of 2 posts)

[bagelstreet225]

I was diagnosed on May 25, 2023, and classified as watch and wait. Treatment, I believe, is warranted. I'll see the hem/onc on June 20, 2024. I'd greatly appreciate your feedback, words of advice, and encouragement. I'm a little nervous.

As always, thank you for listening.

Pat

Comparison: CT abdomen and pelvis 5/30/2023

Findings:

01. LIVER: Stable cysts. No new or worrisome lesion.

02. SPLEEN: Measures 11 cm. Nonspecific hypoattenuating lesion in the posterior spleen measures 0.7 cm x 0.5 cm (series 3, image 31), new since prior exam.

03. PANCREAS: Normal.

04. GALLBLADDER/BILIARY TREE: No biliary duct dilatation. Normal gallbladder.

05. ADRENALS: Normal.

06. KIDNEYS: Indeterminate lesion in the upper pole of the left kidney measures 1.6 cm x 1.5 cm (series 3, image 29), unchanged. Indeterminate lesion in the interpole of the right kidney measures 1.0 cm x 0.7 cm (series 3, image 38), previously 0.5 cm in size. No hydronephrosis, renal calculus.

07. LYMPHADENOPATHY/RETROPERITONEUM: Increased size of the lymphadenopathy in the mesentery and retroperitoneum with reference lesions as follows:

-Anterior left para-aortic lymph node measures 5.1 cm x 2.2 cm (series 3, image 35), previously 4.0 x 2.0 cm.

-Left para-aortic lymph node measures 5.4 cm x 3.3 cm (series 3, image 50), previously 4.4 x 2.5 cm.

-Porta hepatis lymph node measures 3.5 cm x 2.1 cm (series 3, image 25), previously 3.0 x 1.5 cm.

-The largest conglomerate in the mesentery measures 7.0 cm x 3.8 cm (series 3, image 44).

08. BOWEL: No bowel related abnormality

09. PELVIC VISCERA: The prostate gland measures 4.5 cm. Normal urinary bladder.

10. PELVIC LYMPH NODES: Pelvic lymphadenopathy has increased in size with reference lesions as follows:

-Right external iliac lymph node measures 5.0 cm x 2.3 cm (series 3, image 87), previously 3.9 x 2.0 cm.

-Left inguinal lymph node measures 2.9 cm x 2.4 cm (series 3, image 100), previously 2.4 x 2.0 cm.

11. VASCULATURE: Patent and normal caliber aorta

12. PERITONEUM/ABDOMINAL WALL: No ascites.

13. SKELETAL: No aggressive osseous lesion

Part 2 can be found here: healthunlocked.com/cllsuppo...

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