78-year-old female with shortness of breath and abdominal pain ABDOMEN:LUNG BASES: Chest report is dictated separately. Please see the chest port for chest findings.LIVER, BILIARY TRACT: Interval progression of hepatic metastatic disease. Reference lesion near the dome now as conglomerated with several other surrounding lesions and ill-defined borders. Measures 2.7 x 2.1 cm image number 15, series number level. There is increase in the size and number of the hepatic metastases.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: Bilateral adrenal glands cannot be well identified due to surrounding extensive metastatic disease. 2.1 x 1.3 cm right adrenal nodule suspicious for metastatic disease.KIDNEYS, URETERS: No significant abnormality notedRETROPERITONEUM, LYMPH NODES: Extensive retroperitoneal adenopathy which is increased in size and number compared to previous study. Reference left para-aortic adenopathy measures 2.6 x 1.5 cm image number 68, series number 11.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: New lytic lesion in L4 vertebral body suspicious for metastatic disease.OTHER: No significant abnormality notedPELVIS:UTERUS, ADNEXA: Not visualized.BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: Right acetabular lytic lesion destroying the bone consistent with metastatic disease. New from previous study.OTHER: Small amount of fluid in the pelvis.
Interval progression of disease with increase in the size and number of hepatic and retroperitoneal metastatic disease and new bone metastases.