"Oh! Don't forget to take this to the oncologist on Thursday" the nurse said, handing my my CT results as I was walking out the door of my pcp office. (he is out of town so couldn't give me a rundown on the results).
Findings:
Lungs: irregular increased opacity in the paramedian right middle lobe and lingula which are indeterminate (of course). Ovoid noncalcified nodule left lower lobe, measuring 8 mm in size and indeterminate (of course).
Liver: demonstrates inhomogeneous density. Regions of geographic increased density in the subcapsular portions of the right lobe near the dome measuring 6.3 and 4.5 cm in size. Band of increased density right caudal hepatic lobe measuring 3.4 cm.
There is diastasis of the rectus abdominus muscle by about 5 cm in the periumbilic region with possible small fat-containing periumbilical hernia.
Pelvic views: Abnormal increased density in the area of the lower left colon and in the area of the sigmoid colon.
Impression:
1. Inhomogeneous enhancement of the liver. Metastatic deposits cannot be excluded in the proper clinical setting and direct comparison to any prior CTs could be helpful to see if this is an old or new finding. (ya think?)
2. post-surgical change in the periumbilical area with possible fat-containing periumbilical hernia.
3. Atherosclerotic plaque in the aortic wall without aneurysm (well hooray for that).
4. Abnormal increased density surrounding the lower left colon and sigmoid region. This may be from recent surgical intervention although fatty infiltration due to local spread of metastatic disease is not excluded in the given clinical setting.
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Findings:
Lungs: irregular increased opacity in the paramedian right middle lobe and lingula which are indeterminate (of course). Ovoid noncalcified nodule left lower lobe, measuring 8 mm in size and indeterminate (of course).
Liver: demonstrates inhomogeneous density. Regions of geographic increased density in the subcapsular portions of the right lobe near the dome measuring 6.3 and 4.5 cm in size. Band of increased density right caudal hepatic lobe measuring 3.4 cm.
There is diastasis of the rectus abdominus muscle by about 5 cm in the periumbilic region with possible small fat-containing periumbilical hernia.
Pelvic views: Abnormal increased density in the area of the lower left colon and in the area of the sigmoid colon.
Impression:
1. Inhomogeneous enhancement of the liver. Metastatic deposits cannot be excluded in the proper clinical setting and direct comparison to any prior CTs could be helpful to see if this is an old or new finding. (ya think?)
2. post-surgical change in the periumbilical area with possible fat-containing periumbilical hernia.
3. Atherosclerotic plaque in the aortic wall without aneurysm (well hooray for that).
4. Abnormal increased density surrounding the lower left colon and sigmoid region. This may be from recent surgical intervention although fatty infiltration due to local spread of metastatic disease is not excluded in the given clinical setting.
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Tomorrow I'll find out what all this means. Hold my hand, will ya? Thanks.
WTF??? NONE of this was in our agreement!!! Not one tiny bit! Sigh. I've got your hand in mine, all the way.
ReplyDeletep.s. I have no idea why I can't seem to figure out how to get the latest posts on this blog! My computer obviously hates me.
Call me when you're up to it tomorrow or when you think of it and aren't up to it :) I love you LONG TIME!