August 19, 2010
CT of the chest with contrast:
Clinical History: Colorectal carcinoma. Comparison with previous study 6/23/10 is made.
Technique: Multidetector 5mm slices were obtained from the lung apices to the adrenals with 100 ml of intravenous contrast. Coronal reconstructions were performed.
Findings: The lungs are clear of pulmonary nodules, effusion, infiltrates or consolidation. The trachea and bronchial segments are unremarkable.
The heart, pericardium, aorta, pulmonary arteries, thyroid and great vessels are normal. No suspicious hilar, mediastinal or axillary adenopathy is noted.
The bones are unremarkable.
Impression: Normal study.
CT of the abdomen with contrast:
Clinical History: Colorectal carcinoma.
Technique: Multidetector 5m slices were obtained from the lung bases to iliac crests with oral and 100 ml of IV contrast. Coronal reconstructions were performed.
Abdomen: The lungs bases are clear.
The liver demonstrates several lesions as previously noted.
In the posterior right hepatic lobe a 11 x 10 mm nodule previously measuring 13 x 9 mm. Again, possible peripheral puddling is seen.
The left hepatic lesion again is reidentified measuring 3 x 3 mm. Previously this measured 4 x 3 mm.
Regarding the right lobe posterior segment lesion behind the IVC, this is seen today measuring 4 x 3 mm unchanged.
Regarding the right lobe posterior segment hepatic lesion measuring 6 x 6 mm previously 5 x 10 mm. A calcification associated with lesion again is present. At the base of the lesion is some increased enhancement in retrospect unchanged.
The spleen, pancreas and adrenals are unremarkable. The kidneys are unremarkable. A left renal cyst is identified measuring 18 x 19 mm. In the right kidney midpole to lower pole is a cyst measuring 10 mm.
The stomach, small and large bowel are no obstructed. A small hiatal hernia is identified. The patient is status post cholecystectomy.
The aorta, IVC, iliacs, mesenteric, renal vessels and portal veins/splenic veins are unremarkable. There is no asciites, adenopathy or free air in the abdomen.
The bones are unremarkable.
Impression:
1. Stable hepatic lesions as discussed in detail above.
2. Bilateral simple renal cysts.
3. Post cholecystecomy.
4. Small hiatal hernia.
CT of the pelvis with contrast:
Technique: Multidetector 5mm slices were obtained from the illac crests to syphilis pubis with oral and 100 ml of IV contrast. Coronal reconstructions were performed.
Pelvis: No free fluid, adenopathy or masses are identified. The bladder is unremarkable. The uterus and adnexa are unremarkable. The bones are unremarkable.
Impression: Normal study.
