Yesterday I received the results of my CT Chest with Contrast Exam, which shows that my cancer has spread with more nodes, lesions, and pathological fractures. I'm alarmed by the possible pathological fracture on my spine and awaiting Dr. Park's getting HMO approval for a MRI examination soon. Also, appears that cancer has now invaded my liver with multiple lesions. The following is the actual report, hopefully you'll be understand the medical language better than I can:
ACCESSION #: 5696070 - CT CHEST WITH
CONTRAST
FINDINGS: There is some healing
fractures in the right rib cage.
Sclerotic lesion involving the
anterior right fourth rib. Multiple
lesions involving the left ribs.
Multiple lesions involving the
vertebral bodies. There is a new
compression deformity involving the
T4 vertebral body, which is likely
pathologic fracture. Correlation
with MRI is recommended. Extent of
osseous metastatic disease has
significantly increased compared to
the prior examination. Adenopathy
in the left infrahilar region has
slightly increased compared to the
prior examination. Previously noted
solid and cystic subcarinal
adenopathy is now more solid but
diminished in size. Overall lymph
node burden may be slightly increased
in the subcarinal region.
Subpleural opacity in the right chest
has slightly increased seen on
image #32 of series 4. Ill-defined
reticulonodular opacities in the
right lower lobe, new since prior
examination. Ill-defined opacities
in the left chest are new since prior
examination. This could be
infectious or inflammatory, metastatic
disease is not excluded. A
nodular density in the right lower
lobe has increased in size now
measuring 1.6 cm. The spleen is
unremarkable. Visualized kidneys are
unremarkable. A metastatic lesion
within the liver in the right lobe
is now seen new since the prior exam.
Multiple additional liver
lesions are seen. Largest of these
lesions measures approximately 3.9
cm.
IMPRESSION:
1. There is a significant increase in
overall metastatic burden
compared to the prior examination.
Multiple new osseous metastatic
lesions. There may be a compression
deformity involving the T4
vertebral body, which is possibly a
pathologic fracture new since the
prior examination. MRI examination of
the thoracic spine is
recommended to evaluate the canal.
2. Increased metastatic
lymphadenopathy in the hila and mediastinum.
3. New ill-defined soft tissue
abnormality in the bilateral lower
lobes in addition to an enlarged right
lower lobe nodule.
4. Expansile lesion within a left rib
extending into the left chest
cavity seen on series 4 image #43.
This is also progressed compared to
the prior exam.
5. Multiple new metastatic liver
lesions largest measuring 2.9 cm.
NOTE: PROVIDER NOTIFICATION SYSTEM
IMPLEMENTED.
Transcribed: 11/06/2012 by rpd
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3 comments:
Hi Bruce, thanks for updating your status, I have been thinking and praying for you. I will keep you in my thoughts and prayers. Marci (ramblingsofarunningaddict)
So glad that you wrote an update.
You and your family are in my prayers.
Hey Bruce... I rarely read blog. I have checked my Google Reader and decided to check up on everyone including you. I do remember reading your blog in the past. I know you haven't been blogging since last November. Hope all is good and you are making significant progress. You are in my thought and prayer.
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