38-year-old male with metastatic colorectal cancer. CHEST:LUNGS AND PLEURA: Multiple metastatic lung nodules are reidentified. Reference right upper lobe lesion measures 19 x 17 mm on image number 33, series number 3. Left upper lobe reference lesion measures 24 x 19 mm image number 22, series number 3. All the lung nodules have increased in size within the interval.MEDIASTINUM AND HILA: AP window adenopathy measuring 15 x 12 mm on image number 36, series number 3 has slightly increased in size. Previously closed measuring 13 by 8mm on image number 41, series number 3.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Metastatic lesion in the segment 4 of the liver measures 4.1 by 3.7 cm, slightly larger compared to previous study. Additional lesion at the lateral length of the left lobe is also increased in size.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Moderate right-sided hydronephrosis and hydroureter are unchanged. This is secondary to a pelvic mass invading the distal right ureter. Minimally complex large left renal cyst is unchanged.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Patient is status post left colectomy with diverticula some of the left lower abdomen. Postsurgical changes are unchanged.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS:PROSTATE, SEMINAL VESICLES: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No significant abnormality notedOTHER: The fine soft tissue invading the distal right ureter and causing moderate right-sided hydronephrosis.
Interval increase in the size of the hepatic and pulmonary metastases.Right-sided moderate to severe hydronephrosis called by invasion of the distal right ureter by a pelvic soft tissue mass is unchanged.