61 year-old female with metastatic breast cancer status post two cycles of chemotherapy. Evaluate and compare to previous. CHEST:LUNGS AND PLEURA: Punctate left lower lobe nodule is unchanged (image 42; series 80213)MEDIASTINUM AND HILA: Reference precarinal lymph node has decreased minimally in size and currently measures 1.1 x 1.2 cm (image 36; series 2).CHEST WALL: Sclerotic foci in the sternum are compatible with metastases as noted previously.Numerous chest wall collaterals are seen on the right. The right subclavian vein is at least partially occluded and the right internal jugular vein is diminutive in size as noted previously.Bilateral breast implants and axillary node dissections.Right-sided port terminates in the SVC.ABDOMEN:LIVER, BILIARY TRACT: Reference liver lesions difficult to measure given indistinct borders but has probably increased slightly in size currently measuring 2.5 x 2.5 cm (image 61; series 3). Other lesions are similar to slightly increased in size.Cholecystectomy.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Reference gastrohepatic ligament lymph node (image 88; series 3) has equivocally increased in size and measures 1.2 x 1.3 cm.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Small, nonenhancing cystic lesion expands the left T12-L1 neural foramen with smooth remodeling of the T12 vertebral body again noted, unchanged.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.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Slight interval progression of disease. Reference measurements above.