38-year-old female with metastatic breast cancer. Assess progression CHEST:LUNGS AND PLEURA: Again noted innumerable subcentimeter nodules scattered throughout bilateral lungs consistent with metastatic disease. Reference right upper oh spiculated mass measures 21 x 9 mm image number 49, series number 5, not significantly changed.MEDIASTINUM AND HILA: Scattered mediastinal right hilar and paratracheal lymph nodes are again noted. Reference subcarinal lymph node measures 19 x 6 mm on image number 60, series number 3. No significant change.CHEST WALL: Again noted bilateral breast implants. The tip of the right port catheter and at the junction of SVC and right atrium.ABDOMEN:LIVER, BILIARY TRACT: Numerous hypodense lesions in the liver, are again noted. Index hypodense lesion in segment 8 measures 8 x 8 mm image number 106, series number 3, slightly increased in size compared to previous CT. most of the other smaller metastatic lesions in the liver have also increased in size.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Left renal stone, unchanged.RETROPERITONEUM, LYMPH NODES: Index porta hepatis lymph nodes measures 9 x 9 mm image number 108, series number 3, not significant changed.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Interval increase in the size of the most of the focal liver lesions.