Scan Update

Great news--Dennis remains stable!

This latest report did not contain any measurements, except for the slight decrease in the fluid collection that has been there all along. I always compare the latest scan to the previous one to see exactly what the changes are. No such luck with this report. I'll have to conclude that stable, in this case, truly means stable. No growth, no reduction.

Dennis will continue taking Votrient, and return in 6 weeks for his labs.


For those interested I'll include the findings.

Chest:
Enlarged destructive lytic mass at T3 rib is again demonstrated on the right. Several sclerotic foci in the thoracic spine are again demonstrated. These appear overall similar. Bony expansion at T6 on the left is similar. A small right middle lobe nodule is stable. No new suspicious pulmonary nodules are present. There is no new significant axillary,  mediastinal, or hilar adenopathy.

Abdomen/Pelvis:
The liver is normal.
The gallbladder is normal in appearance.
The spleen is normal.
The pancreas is unremarkable.
The rt adrenal is normal. Nodularity  of the left adrenal gland is stable.

The rt kidney is within norrmal limits.

The left kidney has been removed. The left retroperitoneal low density fluid collection anterior to the left psoas muscle is again demonstrated.  It measures 5.3 x 4.4 cm, slightly decreased from prior exam of 5.6 x 4.8 cm but overall similar.

The pelvic viscera are unremarkable. There is no evidence for bowel obstruction. Previously seen thickening near the ileocecal valve is not present and likely represented under distention as described previously.

A fat containing lipoma in the left gluteus muscle is similar measuring 3 cm.

There is no significant abdominal or pelvic adenopathy.

Extensive bony metastatic disease in the lumbar spine and pelvis is overall similar.

Impression:
1. Stable appearence in diffuse osseous metastatic disease. Stable subcentimeter right lung pulmonary nodules.
2. Retroperitoneal fluid collection slightly decreased in size overall similar to prior exam, which may again represent a lymphocele.