62-year-old male with metastatic prostate cancer, restage disease. CHEST:LUNGS AND PLEURA: Mild bilateral lower lobe subpleural fibrosis is again seen and slightly improved. No suspicious nodules, masses, or pleural effusion are visualized. MEDIASTINUM AND HILA: Reference node in the aortopulmonary window measures 1.1 cm x 0.5 cm (image 32, series 3). The other prominent lymph nodes in the mediastinum are not significantly changed in size or appearance. Heart size is normal without pericardial effusion.CHEST WALL: Right chest with tip is in the SVC. Sclerotic metastatic disease of the axial skeleton and 6th thoracic rib is again seen and not significantly changed. Correlate progression of bone disease with the recently ordered bone scan. ABDOMEN:LIVER, BILIARY TRACT: Cholelithiasis without evidence of cholecystitis is again seen.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral simple renal cysts are again seen without change.RETROPERITONEUM, LYMPH NODES: Hazy ill-defined soft tissue densities seen in the aortocaval space and adjacent to the common iliac vessels are again seen.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Metastatic sclerotic changes of the lumbar spine are noted. Compression of the L3 vertebra is unchanged.OTHER: No other significant abnormality noted.PELVIS:PROSTATE, SEMINAL VESICLES: Status post bilateral orchiectomyBLADDER: No significant abnormality noted.LYMPH NODES: Small subcentimeter nodes and ill defined soft tissue haziness adjacent to the common iliac vessels is again seen and unchanged.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Metastatic sclerotic changes of the lumbar spine are noted. Compression of the L3 vertebra is unchanged.OTHER: No other significant abnormality noted.
No significant change in appearance of the metastatic bone changes and prominent lymph nodes as described above. Correlate bone findings with recently ordered bone scan. 