56-year-old male with colon cancer status post chemotherapy. CHEST:LUNGS AND PLEURA: Multiple subcentimeter nodules in the right upper and middle lobes and left upper and lower lobes. Nodules in the right upper lobe (series 4, image 44, 45, 56, 62) appears slightly larger. There is a new left lower lobe nodule (Series 4, image 80). The left lower lobe nodule seen previously now measures 8mm, previously 6mm. MEDIASTINUM AND HILA: Coronary artery and aortic arch atherosclerotic calcifications are present.CHEST WALL: The left chest wall port is in place with its tip at the SVC/RA junction.ABDOMEN:LIVER, BILIARY TRACT: Interval progression of hepatic metastases. Reference lesion near the gallbladder fossa measures 5.4 x 7.2 cm (series 3, image 99), previously measuring 4.5 x 6.0 cm. A second reference lesion in segment 7 near the dome measures 7.3 x 10.1 cm (series 3, image 94), previously measuring 6.3 x 5.0 cm.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Left renal cyst.RETROPERITONEUM, LYMPH NODES: Enlarging portacaval lymphadenopathy.BOWEL, MESENTERY: Low anterior resection with colostomy in left lower quadrant. There is herniation of small bowel loops adjacent to the stoma compatible with parastomal hernia. No evidence of bowel obstruction. BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS:PROSTATE, SEMINAL VESICLES: Prosthetic calcifications.BLADDER: No significant abnormality notedLYMPH NODES: Reference right external iliac lymph node measures 1.4 x 2.0 cm (series 3, image 175), previously measuring 1.4 x 2.0 cm.BOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted
Interval progression of lung metastases, hepatic metastases and portacaval lymphadenopathy.