63-year-old male with history of head and neck cancer. Evaluate disease status one month post chemo/RT. CHEST:LUNGS AND PLEURA: New subcentimeter micronodule in the left upper lobe (series 5, image 32). While metastasis is considered less likely, appropriate follow-up is recommended. Calcified right upper lobe micro-nodule also noted (best seen on high resolution scan, series 4, image 111), likely benign.No suspicious masses or pleural effusion.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Heart size normal without pericardial effusion.CHEST WALL: Stable sclerosis of left seventh rib. Patient's known left thyroid mass partially visualized (series 3, image1). Please refer to report for dedicated CT soft tissue neck performed on the same date for further characterization.ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: Stable left adrenal nodule.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.
New left upper lobe micronodule as described above. While metastasis is considered less likely, continued 3 month follow-up is recommended to confirm benignity. Other findings as above.