73 year-old female with mediastinal adenocarcinoma of lymph nodes. Restaging examination. CHEST:LUNGS AND PLEURA: Severe centrilobular emphysema.A reference right lower lobe spiculated nodule is partially obscured by motion artifact which makes accurate measurement difficult. An estimated measurement of 1.6 x 1.2 cm on image 70, series 5, is likely unchanged to slightly smaller given the above limitations.A reference left upper lobe nodule is unchanged measuring 6 x 8 mm on axial image 26, series 5. An additional spiculated nodule in the left upper lobe (image 28, series 5) is also unchanged.Groundglass opacity in the left lower lobe is unchanged and may reflect aspiration or atelectasis. No pleural fluid.MEDIASTINUM AND HILA: A reference precarinal lymph node measures 2.1 x 1.4 cm on axial image 29, series 4, and is unchanged. Additional superior mediastinal, prevascular, subcarinal and hilar lymphadenopathy is unchanged.The cardiac size is mildly enlarged. Aortic and coronary artery atherosclerotic calcifications are noted. No pericardial effusion.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: A left adrenal nodule measures 1.5 x 1.8 cm on axial image 79, series 4, and has not significantly changed.KIDNEYS, URETERS: Cystic lesion in the superior pole of the left kidney is unchanged and probably benign.RETROPERITONEUM, LYMPH NODES: Aortic atherosclerotic calcification and mural thrombus with a mild aneurysmal dilatation of the aorta superior to the bifurcation, unchanged.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Mild thoracolumbar dextroscoliosis and degenerative disease. 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: Dystrophic calcification in the gluteal soft tissues may reflect prior trauma and is unchanged.OTHER: No significant abnormality noted.
Stable disease in the chest with no evidence of metastatic disease in the abdomen or pelvis.