72-year-old male with metastatic melanoma CHEST:LUNGS AND PLEURA: A few subcentimeter nodules are identified in both lungs, unchanged. The reference left lower lobe nodule measures 5 mm (series 4; image 85), unchanged in size. MEDIASTINUM AND HILA: A surgical clip is seen in the previous location of the enlarged left supraclavicular lymph node. A right hilar lymph node measures 12 x 10 cm, not significantly changed (series 3; image 45). Calcified mediastinal nodes are again evident.CHEST WALL: Gynecomastia, unchanged.ABDOMEN:LIVER, BILIARY TRACT: The lesion in segment two of the liver is stableSPLEEN: Calcified splenic granulomata.PANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Bilateral hypodense renal lesions, likely cysts, are stable.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Stable mild aneurysmal dilatation of the infrarenal abdominal aorta.OTHER: No significant abnormality notedPELVIS:PROSTATE, SEMINAL VESICLES: The prostate gland is enlarged.BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted
Interval excision of the left supraclavicular lymph node. Otherwise, stable examination.