88-year-old male with history of diffuse lymphadenopathy CHEST:LUNGS AND PLEURA: Dependent atelectasis and calcified granuloma in the left lung bases unchanged.MEDIASTINUM AND HILA: Cardiomegaly is unchanged. Index right paratracheal lymph node is stable in size measuring 2.6 x 1.6 cm image number 17, series number 4. No change in the size of the other mediastinal lymph nodes.CHEST WALL: No significant abnormality notedABDOMEN:The study is limited due to lack of IV contrast.LIVER, BILIARY TRACT: Presumed liver cyst is unchanged.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No change in the punctate renal catheter to lie in the left kidney. Large left renal cyst is unchanged.RETROPERITONEUM, LYMPH NODES: Previously measured aortocaval index node cannot be well seen on this noncontrast study. However overall retroperitoneal lymph nodes are stable.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Loss of height involving the L1 vertebral body likely secondary to compression fracture. A hemangioma may also be present in L1 vertebral body. This is unchanged from previous study.OTHER: Generalized anasarca, worse compared to previous study.PELVIS:PROSTATE, SEMINAL VESICLES: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: Thickening of the right iliac bone cortex and presence of multiple lytic lesions suggest Paget's disease, unchanged.OTHER: Generalized anasarca.
Limited study due to lack of IV contrast. No significant change from previous study.