CT scan results

CLINICAL HISTORY: Reason: New diagnosis of Merkel cell cancer; rule
out metastatic disease.

COMPARISON: CT KUB September 21, 2009

TECHNIQUE: Study performed per protocol.

CONTRAST: 120 mL Omnipaque 350

FINDINGS:
Chest:
No significant mediastinal or hilar adenopathy. Metallic clips in
the right axillary region are present. Left axillary nodes measuring
just beneath 1 cm short axis dimension identified.
There is minimal strandy opacity left base lung the major fissure
nonspecific
No pleural fluid effusion.
Vascular and cardiac structures are normal.

Abdomen:
Liver is normal in size. The overall pattern density subjectively
slightly low. Two half centimeter indeterminate region of subtle
enhancement is seen involving the levels of the left lobe dorsally
abutting the lesser curvature the stomach seen image number 158 and
in a coronal image number 109. This indeterminate.
Gallbladder is unremarkable.
Spleen is normal in size.
Pancreas is without focal lesions.
Kidneys are normal in size. No renal mass is identified. There is no
hydronephrosis.
Adrenal glands are unremarkable.
Vasculature is unremarkable.
Prominent portacaval adenopathy measured nearly 2 cm identified
nonspecific. No evidence of acute intra-abdominal nor
retroperitoneal adenopathy can be appreciated. This is likely not
appreciably different than study of 2009
No ascites or fluid collections. No evidence of free intraperitoneal
air.
Sigmoid diverticulosis without diverticulitis

Pelvis:
Urinary bladder is unremarkable.
No pelvic adenopathy.
Bony structures of the chest, abdomen and pelvis are notable for
degenerative changes most marked at the L5 -- S1 level..

[Gianthuman]

Anything here I should be concerned about?

[Kaneda2112]

Just my $0.02.

It reads like there were no significant changes from a previous imaging study done in 2009. I like seeing the term 'unremarkable' throughout the report. That seems reassuring.

This seemed like a concern - "Prominent portacaval adenopathy measured nearly 2 cm identified nonspecific."

But seems to be countered with - "No evidence of acute intra-abdominal nor retroperitoneal adenopathy can be appreciated. This is likely not appreciably different than study of 2009." which seems like a good thing.

As we age, most people get diverticular pockets as we wear out our intestines. As far as I know they are typically not a concern as long as there is no pain associated with them."

[Gianthuman]

Thank you.