With apologies for not taking the time to post the results earlier, and with the advisory that people who do not appreciate technical details should skip to the next post, for blog history, I am presenting critical excerpts of the reports of four scans that Debbi underwent on Wednesday 8/6/2006.
In the next post, I will present the explanation of the scan results as conveyed to us by our medical team.
Compared to prior outside study 03/12/2008
1. Right upper pole renal mass has decreased in size. FDG uptake [FDG is the radiopharmaceutical that was injected 60 minutes prior to the scan and its uptake refers to the process by which the cancer cells draw the FDG from the blood system.] within the mass may also have decreased.
2. Lytic hypermetabolic lesion in the left scapula, now larger than previous, and suspicion for adjacent new lesion.
3. Resolution of previously documented hypermatabolic aortocaval lymphadenopathy.
MRI of Left Shoulder with and without contrast
Comparison is made with MRI of the left shoulder dated 5/1/2008
Clinical statement: Urothelial cancer of right kidney. Scapular metastasis, status post chemotherapy.
FINDINGS: A 2.5×1.3×1.1 cm scapular metastasis at the junction of the left coracoid process and superior glenoid has decreased in size (from 2.6×1.8×1.6cm). No new osseous lesion or soft tissue mass is identified.
IMPRESSION: Since 5/1/2008, some decrease in size of metastasis in left scapula.
CT: Chest/Abdomen/Pelvis w/Contrast
Compared to CT chest, abdomen, and pelvis dated 6/6/2008.
1. Slight improvement in the appearance of the infiltrating upper pole mass within the right kidney with slight decrease in the extend of the renal vein thrombosis extending into the Inferior Vena Cava. An area of focal atrophy posteriorly in the lower pole of the right kidney may be the residua of prior infarction. Slight thickening of the proximal ureter is stable without obstruction.
2. No hepatic metastases
3. No retroperitoneal adenopathy
4. Slight increased prominence of the branching bronchiolar thickening within the lower lobe. A small left lower lobe nodule is slightly more prominent.
Comparison: Bone Scan from 4/7/2008
Uptake in the left coracoid appears to have increased slightly in extension on the whole body images, but this could also be positional.
Photopenia at the upper pole of the right kidney is again identified.
1. No significant change, the minimal extension of activity in the left coracoid could be positional.
2. No new significant abnormal uptake identified.