56-year-old female with lung cancer. Evaluate response to therapy. CHEST:LUNGS AND PLEURA: A right upper lobe spiculated mass has changed in configuration slightly making direct comparison somewhat difficult. The tumor measures 2.3 x 1.9 cm on axial image 30/111 and is unchanged at this level which is equivalent to that used for the prior measurement. On several more inferior slices, however, the mass does appear fuller than on the prior exam. Previously noted adjacent punctate micro-nodule is no longer evident. A few, scattered new micronodules are evident (axial images 27, 32, 44, and 65/111).No focal consolidation, edema or pleural effusion. Moderate centrilobular emphysema is unchanged.MEDIASTINUM AND HILA: Interval improvement in pretracheal, prevascular, AP window and subcarinal lymphadenopathy. Reference subcarinal node measures 1.7 x 1.1 cm on axial image 46/147 (measured 2.2 x 1.8 cm on 1/23/08).CHEST WALL: Right subpectoral and axillary lymphadenopathy is improved. Reference right axillary lymph node measures 2.1 x 2.6 cm on axial image 21/147 (measured 3.1 x 3.2 cm on 1/23/08). No significant hilar lymphadenopathy.Cardiac size is normal with no significant pericardial effusion.ABDOMEN:LIVER, BILIARY TRACT: The gallbladder is contracted containing foci of high attenuation which likely represent gallstones.SPLEEN: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedPANCREAS: No significant abnormality notedRETROPERITONEUM, LYMPH NODES: Small gastrohepatic lymph nodes unchanged.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted
1.Right upper lobe mass has changed somewhat in configuration, and although the reference measurement is stable, the mass appears slightly fuller in certain planes.2.Scattered new pulmonary micronodules.3.Improved axillary and mediastinal lymphadenopathy as above.4.Gallstones.