74-year-old male with history of mesothelioma. Status post presacral to treatment. CHEST:LUNGS AND PLEURA: Irregular pleural thickening in the left hemithorax with associated calcified pleural plaques are similar in comparison to prior study.Reference measurements as below:At the aortic arch (series 3, image 34): 15 mm at the 6 o'clock position (previously 15 mm), 7 mm at 9 o'clock (previously 7 mm)At the pulmonary artery bifurcation (series 3, image 52): 9 mm at 10 o'clock (previously 9 mm)At the left atrium (series 3, image 68): 9 mm at 7 o'clock (previously 10 mm), 10 mm at 11 o'clock (previously 10 mm)Postoperative changes in the left hemithorax are again identified with persistent left hydropneumothorax, partially loculated. The amount of pleural air continues to decrease with continued increase in the fluid component. Interstitial and ground glass opacities in the left lower lobe are unchanged.Numerous micronodules are seen in the right lung, with reference right upper lobe nodule (series 5, image 39) measuring 5 mm in diameter (stable).MEDIASTINUM AND HILA: Soft tissue density continues to extend into the mediastinum at the level of the left anterior descending coronary artery (series 3, image 64) as well as the left ventricle (series 3, image 70).Reference subcarinal lymph node measures 22 x 11 mmand is relatively stable accounting for differences in technique; previously measuring 21 x 10 mm.Heart size is normal without pericardial effusion. Coronary calcifications.CHEST WALL: Displaced left eighth rib fracture is reidentified. Numerous sclerotic foci are again seen throughout the vertebral bodies and remain of indeterminate etiology. ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Nonobstructing right renal calculus, unchanged.RETROPERITONEUM, LYMPH NODES: Borderline enlarged gastrohepatic lymph node and mildly enlarged which peritoneal nodes are grossly unchanged. Reference aortocaval lymph node measures 1.2 x 1.5 cm (series 3, image 122); previously measuring 1.2 x 1.5 cm.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Multiple sclerotic foci are again noted throughout the vertebral bodies, pelvis, and right femoral head.PELVIS:PROSTATE, SEMINAL VESICLES: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: Borderline enlarged left external iliac lymph node (series 3, image 189) measures 0.9 x 1.6 cm; previously measuring 1.1 x 1.8 cmBOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Multiple surgical clips are again seen in the pelvis.
Stable disease as detailed above