CAT SCAN RESULTS AFTER 2 MONTHS OUT OF TREATMENT

CAT SCAN RESULTS

Study Result of CT Scan

Impression

1. No discrete left vallecular mass seen comment there is soft tissue fullness in the region which could represent post therapy change, but residual mass is possible.

2. Interval decrease in size of the metastatic left cervical lymph node, now measuring 1.2 cm.

3. 5 mm calcification adjacent to the right submandibular gland, possibly a stone.

Electronically signed by: JOHN STEIGNER MD

Date: 10/20/17

Time: 15:59

Narrative

Exam: CT neck without IV contrast.

Indication: Elected a neoplasm.

Comparison: Neck CT 2/9/2017, PET/CT 05/16/2017.

Iterative reconstruction technique was used.

Findings:

The left vallecular soft tissue mass seen on the previous study is not definitively seen; however, there is mild fullness in the left vallecular region. This could represent residual neoplasm or post therapy change. The enlarged left cervical lymph node is decreased in size, and now measures 1.2 cm. No other masses are noted. The parotid glands are unremarkable. There is a 5 mm calcification adjacent to the right sub-mandibular gland, suspicious for a stone. The left submandibular gland is not identified. No enlarged cervical lymph nodes are seen. There is a 2 cm nodule in the right lobe of the thyroid.

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Not sure if I should be relieved or not.  This is not a NED.  I'll see what the Oncologist has to say on Wednesday.  I still feel something on the base of my tongue that I did not feel during radiation treatment.  I was hoping it was just scar tissue.  However, the CAT scan does not report scar tissue and instead possible residual neoplasm.  Now the fear is returning.  Oncologist told me in the beginning that if the radiation did not work it would be surgery.  I am supposed to have a PET scan in December.  Maybe that will show things differently.