1. New prominent soft tissue density along the left pelvic sidewall just deep to the junction of the distal descending colon and sigmoid as detailed. Findings are consistent with metabolically active malignancy.
2. Left internal mammary node is enlarged measuring approximately 1 cm and shows elevated glucose uptake. Findings are consistent with intra-thoracic metastasis.
The black areas are brain, kidneys, bladder- all normal appearing. The internal mammary node isn't visible on this slice of the scan. The thing in the circled area is the new soft tissue density and is quite large.
I learned some new words: MUGA scan. Doxil. I even made up a few new ones that make the 'F' word sound tame.
