6-year-old female with history of neuroblastoma, off therapy evaluation. Status post resection, chemotherapy, radiation, stem cell transplant. CHEST:LUNGS AND PLEURA: No nodules, air space opacity, or pleural effusions.Linear calcification along the pleura at the left medial base is unchanged.MEDIASTINUM AND HILA: Soft tissue density in the anterior mediastinum with concave margins with respect to the aorta is unchanged and consistent with normal thymus. No lymphadenopathy. Normal heart size. No pericardial effusion.CHEST WALL: Round structure with a high density rim measuring 7 mm in the left anterior chest wall is unchanged and consistent with a retained cuff from prior central venous catheter. Lucent and sclerotic lesions throughout multiple vertebral bodies are unchanged.ABDOMEN:LIVER, BILIARY TRACT: Homogeneous enhancement without focal lesion. Normal gallbladder. No intrahepatic or extrahepatic biliary ductal dilatation.SPLEEN: Homogeneous enhancement without focal lesion.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Normal cortical enhancement. No pelvocalyceal dilatation.RETROPERITONEUM, LYMPH NODES: Multiple surgical clips in the retroperitoneum. No masses or lymphadenopathy.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.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. Normal appendix retrocecal in location.BONES, SOFT TISSUES: Lucent and sclerotic lesions throughout multiple vertebral bodies are unchanged. Bone marrow biopsy tracts in both ilia.OTHER: No free fluid.
No evidence of new disease. Lucent and sclerotic lesions throughout the vertebral bodies are unchanged.