70 year-old male with metastatic melanoma evaluate for response to DTIC chemotherapy. CHEST:LUNGS AND PLEURA: Multifocal pulmonary nodules grossly unchanged.Reference pleural-based nodule posterior aspect right lower lobe series 5 image 75 measures 2.2 x 1.1 cm.The reference left upper lobe nodule cannot be separated from surrounding vessel and cannot be measured.MEDIASTINUM AND HILA: A stable small mediastinal nodes. Mild cardiomegaly.Pericardial fluid is decreased.CHEST WALL: Sternotomy. Air in the subcutaneous tissues anterior chest wall. Etiology uncertain correlate clinically. A small in volume and the sex in the muscle planes of the right anterior chest wall. Hiatal hernia.ABDOMEN:LIVER, BILIARY TRACT: Subcentimeter hypodensity is stable.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Partial intrathoracic stomach.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS:PROSTATE, SEMINAL VESICLES: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: Postsurgical changes and through abdominal wall. Some skin thickening along the anterior abdominal wall.OTHER: No significant abnormality noted
No new sites of disease. Measurements as above.