CT Chest, Abdomen, Pelvis Findings:Again seen is an enhancing soft tissue infiltrating mass in the region of the left lung apex and extending into the supraclavicular fossa. It currently measures 22mm craniocaudad in a reproducible loaction. Prior measurement in this same location was 23 mm. Also seen is an isolated enlargred left supraclavicular lymph node that meausres approximately 15mm x 7mm which is also unchanged from prior exams.
Impression:
No change in size or appearance of left supraclavicular mass or isolated supraclavicular lymph node.
CT Head w/contrast
Impression:
Ct scan of the brain with contrast with no change since previous exam and no evidence of metastatic disease.
I-123 MIBG scan with SPECT
Findings:
The size and activity in the left sternoclavicular mass has not significantly changed. No new areas of abnormal MIBG activity are identified.
Showing posts with label Scans. Show all posts
Showing posts with label Scans. Show all posts
Sunday, September 27, 2009
Monday, August 3, 2009
CT SPECT after two cycles of TPI-287
Final report shows tumor to be stable. The image on the left is the standard MIBG scan image (the 2nd spot in the chest is Will's port where the injection is done) and the image on the right is the fused MIBG/CT scan image. The arrow in both obviously is pointing to his tumor.
Thursday, June 4, 2009
Pre-study CT Scan of Chest, abdomen, and pelvis JUNE 4th 2009
CT scan of the chest abdomen and pelvis:
June 4, 2009.
History: Neuroblastoma. Evaluate extent of disease.
Comparison: February 12, 2009.
Technique chest: After the administration of intravenous contrast,helical scans were obtained from the lung apices through the diaphragms.
Technique abdomen: After administration of intravenous contrast,scans were obtained from above the dome of the diaphragms through the iliac crests.
Technique pelvis: After administration of intravenous contrast, scans were obtained from the iliac crest through the ischial tuberosities.Coronal and sagittal reformations were obtained.
Findings:Once again seen is abnormal soft tissue mass at the apex of the left hemithorax extending around the left vertebral artery and into the superior left mediastinum. In comparison with the previous examination, this appears stable in extent. The soft tissue mass is of mixed density with some areas demonstrating increased enhancement and other areas demonstrating decreased enhancement. It extends along the anterolateral chest wall adjacent to the first rib as on the previous examination. The overall size is unchanged. It is quite difficult to measure. The maximum SI diameter is 2.9 cm versus 2.5 cm on the previous examination (measured on coronal chest image 37). The transverse diameter on this image is 2.9 cm versus 3.1 cm on the previous examination. A small enhancing nodule adjacent to the left hand aspect of aorta and gastroesophageal junction is similar in appearance to the previous examination. It measures 8 mm AP on the current examination on sequence 83, image 12. The transverse diameter on this series is 6 mm.Motion artifact obscures much of the lung. Dependent atelectasis is present.The bones of the chest are normal in appearance. A chest port is seen in the anterior tissues of the right chest.Abdomen and pelvis:The liver, spleen, pancreas, kidneys and gallbladder are normal in appearance. The adrenal glands are normal in appearance bilaterally.The aorta and IVC are normal in diameter.There is no intra-abdominal lymphadenopathy. Evaluation of the pelvis demonstrates no pelvic lymphadenopathy. Physiologic free fluid is noted in the pelvis.The bones of the pelvis and abdomen are unremarkable in appearance.
Impression:
Essentially stable examination in comparison to prior study of February 12, 2009.
No new lesions are identified.
Stable size of the left hemithorax apical lesion and left periaortic lesion are noted.
June 4, 2009.
History: Neuroblastoma. Evaluate extent of disease.
Comparison: February 12, 2009.
Technique chest: After the administration of intravenous contrast,helical scans were obtained from the lung apices through the diaphragms.
Technique abdomen: After administration of intravenous contrast,scans were obtained from above the dome of the diaphragms through the iliac crests.
Technique pelvis: After administration of intravenous contrast, scans were obtained from the iliac crest through the ischial tuberosities.Coronal and sagittal reformations were obtained.
Findings:Once again seen is abnormal soft tissue mass at the apex of the left hemithorax extending around the left vertebral artery and into the superior left mediastinum. In comparison with the previous examination, this appears stable in extent. The soft tissue mass is of mixed density with some areas demonstrating increased enhancement and other areas demonstrating decreased enhancement. It extends along the anterolateral chest wall adjacent to the first rib as on the previous examination. The overall size is unchanged. It is quite difficult to measure. The maximum SI diameter is 2.9 cm versus 2.5 cm on the previous examination (measured on coronal chest image 37). The transverse diameter on this image is 2.9 cm versus 3.1 cm on the previous examination. A small enhancing nodule adjacent to the left hand aspect of aorta and gastroesophageal junction is similar in appearance to the previous examination. It measures 8 mm AP on the current examination on sequence 83, image 12. The transverse diameter on this series is 6 mm.Motion artifact obscures much of the lung. Dependent atelectasis is present.The bones of the chest are normal in appearance. A chest port is seen in the anterior tissues of the right chest.Abdomen and pelvis:The liver, spleen, pancreas, kidneys and gallbladder are normal in appearance. The adrenal glands are normal in appearance bilaterally.The aorta and IVC are normal in diameter.There is no intra-abdominal lymphadenopathy. Evaluation of the pelvis demonstrates no pelvic lymphadenopathy. Physiologic free fluid is noted in the pelvis.The bones of the pelvis and abdomen are unremarkable in appearance.
Impression:
Essentially stable examination in comparison to prior study of February 12, 2009.
No new lesions are identified.
Stable size of the left hemithorax apical lesion and left periaortic lesion are noted.
Pre-study MIBG with SPECT June 4th 2009 1:30pm
Final result:
NM MIBG WB WITH SPECT Jun 4, 2009 4:20:00 PM
Signs and Symptoms: Neuroblastoma .
Following intravenous administration of 3.1 mCi of I-123 MIBG, a whole body scan was performed in anteririor-posterior projections. Following that, SPECT CT of the body from the vertex of the head through the pelvis was done.
Comparison is made with the prior examinagtion February 12, 2009. The focus of increased activity at the left thoracic inlet is again seen, although the intensity has diminished since the last examination. No new focus of increased activity is seen.
Impression: Interval decrease in the intensity of increased activity in the mass at the left thoracit inlet. No new abnormality detected.
NM MIBG WB WITH SPECT Jun 4, 2009 4:20:00 PM
Signs and Symptoms: Neuroblastoma .
Following intravenous administration of 3.1 mCi of I-123 MIBG, a whole body scan was performed in anteririor-posterior projections. Following that, SPECT CT of the body from the vertex of the head through the pelvis was done.
Comparison is made with the prior examinagtion February 12, 2009. The focus of increased activity at the left thoracic inlet is again seen, although the intensity has diminished since the last examination. No new focus of increased activity is seen.
Impression: Interval decrease in the intensity of increased activity in the mass at the left thoracit inlet. No new abnormality detected.
Subscribe to:
Posts (Atom)
