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Thread: What could be suggest by this report??

  1. #1
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    What could be suggest by this report??

    Spiral axial 6/5 mm sections of the thorax were obtained following IV contrast. Images were viewed in the soft tissue and lung window settings.

    The study reveals a large irregular heterogeneously enhancing soft tissue nodular opacity measuring approx. 5.1 x 4.5 x 3.7 cm within posterior segment of right upper lobe extending from subpleural region upto the right hilum with a contiguous ill defined heterogeneously enhancing infiltrative soft tissue lesion in the region of right hilum encasing and attenuating the superior segmental pulmonary essel, upper and middle lobar segmental bronchi and right mainstem bronchus. Multiple round to ovoid irregular enhancing soft tissue nodules of variable sizes are seen diffusely scattered in both lung fields, largest one in the subpleural region of the right lung base measuring 4.7 x 2.4 cm with multifocal thickening of peribronchovascular, interlobular septal, intralobular septal and subpleural interstitial and ground glass opacities within right upper and lower lobes surrounding the soft tissue nodules. Large subpleural opacity is also seen within anterior segment of right upper lobe.

    Multiple enlarged hetrogenously enhacing pretracheal (1.1 X 1.0 cm), subcarinal (2.1 x 1.6cm), azygoesophageal (2.1 x 1.6 cm) and pre-aortic (1.9 x 1.0 cm) lymph nodes are seen with large lymph node in right hilar region measuring 2.8 x 2.6 cm.

    Multifocal areas of pleural thickening are seen adjoining the subpleural nodules.

    No evidence of pleural effusion is seen.

    Trachea and its bifurcation and left mainstem bronchus appear normal.

    Rest of the mediastinal vascular structures appears normal.

    Cardiac chambers appear grossly normal.

    Visualized vertebrae and ribs reveal no focal lytic/ sclerotic lesion.

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    Top User april51's Avatar
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    Sachin, What does your doctor suggest? a
    May The Odds Be Ever In Your Favour. Born 1960. Diagnosed 4/2011 with one tumor, LUL, NSCLC. Tumor size 1.1 inches. Thoracic surgery 6/1/2011. No action taken. Eight weeks of radiation and chemo. Carbo and Taxol. Follow up with four rounds of Carbo and Alimta.
    December 2011 CT scan shows all clear.
    April 2012 CT scan shows all clear. July 2012 had several x-rays taken at the chiropractor for shoulder pain. Took them to the onc and nothing suspicious noted. See them again in Oct.
    October didn't work out. Pain in the left shoulder continued to worsen and lymph nodes in the supraclavical swelled so I called the onc and they bumped the regular scan up to September 19 and we went for the results on the 24th. The tumor is back and the spread is extensive. Option 1: Try targeting chemos that may work and then on to clinical trials. These would give me about a year or so if the cancer responds. Option 2: Do no treatment and let nature take its course. This will give me six months give or take. As good as I feel right now, Iím going for door #2 and will continue to live well and enjoy myself until I donít. Iíll keep you posted. Live it up everyone!

    7 months into hospice and palliative care. It has been a very good relationship with the organization as a whole with a minor glitch. April 2013 spent the night at hospice facility, PICC line inserted for morphine drip. I said I wouldnít but, had a hospital bed delivered. Started 10 rounds of palliative radiation to shrink the neck tumor. Busy month for me!

    I've taken a couple of nasty falls this last week. (first of & mid-May) Right on the cancer shoulder. So I have a life alert necklace on me now. I wish I could get my hands on a small scooter!

    There is another node swelling on the other side of my neck. Still small.

    April51's (Jody) daughter posted that her Mother's journey in this world had ended on July 8th 2013.You touched so very many lives. Soar high Jody!

 
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