61-year-old male with prostate cancer CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Asymmetrically enlarged thyroid gland, unchanged.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Subcentimeter hypodensities throughout the liver, which are too small to accurate characterize, are unchanged.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral renal cysts are unchanged.RETROPERITONEUM, LYMPH NODES: Extensive, diffuse retroperitoneal adenopathy, smaller compared to previous study. Index left para-aortic lymph node at the level of the left renal vein now measures 22 x 22 mm image number 115, series number 3. This lesion was measuring 4.8 x 2.8 cm image number 113, series number 3.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Please see the discussion under the pelvic sectionOTHER: No significant abnormality noted.PELVIS:PROSTATE: Enlarged prostateBLADDER: Thickwalled bladder unchanged.LYMPH NODES: Index left inguinal lymph node is smaller now measuring 23 x 15 millimeter on image number 119, series number 3.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Extensive bone metastases involving the entire skeleton and appear more sclerotic, with slight interval increase in the extent of disease.OTHER: No significant abnormality noted.
Interval decrease in the size of the retroperitoneal and pelvic enlarged lymph nodes.Slight interval increase in the extent and density of the sclerotic bone metastases.