Regardless, here is the raw data. If you are so inclined, feel free to go back to 12/2 and look at the CT/PET results then compare them to this one. Maybe I need to do another spreadsheet on tumor sizes and scan dates. Sigh …. Gotta be aggressive about your health, peeps!
COMPARISON: PET/CT 10/10/2019, CT neck 09/24/2019. TECHNIQUE: Axial post contrast images were obtained with coronal and sagittal reformats. Dose lowering techniques were utilized which include adjusting the mA and/or kV to protocol and/or patient size. Total contrast administered on date of service: 150 ml Omnipaque 350 - IV. FINDINGS: The previously described infiltrative nodal mass in the left supraclavicular fossa is again identified and appears to have decreased in size to approximately 45 x 40 x 52 mm (CC x AP x TRV) previously measuring 70 x 53 x 60 mm in the same dimensions. The margins are difficult to evaluate given its infiltrative and curvilinear nature. There is likely involvement of the brachial plexus as multiple nerves extend through the mass. There is displacement if not infiltration of the adjacent vascular structures. Complete occlusion or intravascular thrombus is not identified. Intracranial Structures: Visualized intracranial structures are unremarkable. Skull Base: Normal. Salivary Glands: Normal Nasopharynx: Normal Oral Cavity and Oropharynx: Normal. Hypopharynx and Larynx: Normal Trachea, Aerodigestive tract: Normal Thyroid: Normal Lymph Nodes: Previously described left level IIa, IIb, and lower left level V lymph nodes have decreased in size, not number. The left level IIa lymph node measures 9 mm short axis, IIa lymph node measures 5 mm short axis; two left level V lymph nodes measure 7 mm short axis. Multiple smaller nodes are seen along the left jugulodigastric chain similar to the previous exam. Vessels: The carotid arteries and jugular veins are patent. Osseous Structures: No destructive changes are found. Paranasal sinuses: Visualized sinuses are well aerated. IMPRESSION: 1. Evidence for interval decrease in size of an infiltrative nodal mass in the left supraclavicular fossa. 2. Interval decrease in size of previously described left-sided adenopathy. 3. No adverse changes are identified.
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