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Results

CarlosRosado's picture
CarlosRosado
Posts: 76
Joined: Dec 2017

Chest: 
1. No evidence of metastatic disease within the chest.

Abdomen: 
1. Postsurgical changes from partial left nephrectomy. Next on
2. No evidence of malignancy in the abdomen or pelvis.
3. Hepatic steatosis.
4. 1.4 cm cyst in the right kidney.


Signed By: Brown MD, Benjamin

Narrative

EXAM: CT-ABDOMEN & PELVIS W CONT, CT-CHEST W CONTRAST

INDICATION: Malignant neoplasm of the left kidney

COMPARISON: January 5, 2018

TECHNIQUE: Standard per department protocol following the administration 100 mL Omnipaque 350 intravenous contrast. Up-to-date CT equipment and radiation dose reduction techniques were employed.

FINDINGS:

Scout: No additional abnormality.

CHEST:
Lungs and tracheobronchial tree: The central airways are patent. No suspicious pulmonary nodules.
Pulmonary arteries: The pulmonary arteries are not enlarged.
Mediastinum: No mediastinal or hilar lymphadenopathy. The heart and great vessels are normal.
Thyroid gland: Normal.
Esophagus: Normal.
Chest wall: Normal.

ABDOMEN/PELVIS
Liver and biliary system: Hepatic steatosis. No focal hepatic lesions. The gallbladder is grossly normal without biliary ductal dilation.
Spleen: Normal. 
Adrenal glands: Normal. 
Pancreas: Normal.
Genitourinary: Postsurgical changes from partial left nephrectomy. No evidence of recurrent or residual neoplasm. There is an ill-defined hypodense lesion in the right kidney measuring 1.4 x 1.0 cm with average Hounsfield unit measurement of 7 consistent with a cyst. No renal calculi. No hydronephrosis. The bladder is normal. The prostate and seminal vesicles are normal. 

Bowel: The small and large bowel are normal in caliber. No bowel wall thickening. The appendix is normal.
Abdominal wall: Normal. 
Peritoneal cavity: No free or loculated fluid collections are seen.

Vasculature: No aneurysm. 
Lymph nodes: No lymphadenopathy is appreciated. 

Osseous structures: No suspicious abnormality.

 

 

toughts?????

 

CarlosRosado's picture
CarlosRosado
Posts: 76
Joined: Dec 2017
Component Your Value Standard Range
POC Creatinine 0.8 mg/dL 0.5 - 1.3 mg/dL
MarkDavid18's picture
MarkDavid18
Posts: 57
Joined: May 2018

No signs of metastasis and everything appears to be normal. The right kidney has that small cyst which doesn't look to be much of a concern - cysts are pretty common.  I'd say these were very good results.

APny's picture
APny
Posts: 1883
Joined: Mar 2014

Sounds good to me too. As Mark said, cysts are common. I think you can relax now.

CarlosRosado's picture
CarlosRosado
Posts: 76
Joined: Dec 2017

I will try to relax now.  Thanks

Positive_Mental_Attitude's picture
Positive_Mental...
Posts: 452
Joined: Jul 2014

Have your favorite beverage and a big smile.  Time to party!!!

lobbyist0724's picture
lobbyist0724
Posts: 372
Joined: Sep 2016

Hi Carlos, this seems to me a visit from uncle NED!

donna_lee's picture
donna_lee
Posts: 880
Joined: Feb 2009

At least for the post surgical results with Kidney cancer.

Be happy and relax

donna_lee

stub1969's picture
stub1969
Posts: 756
Joined: Jul 2016

I'm with the rest of the group....this looks like a good report.  Enjoy that beverageWink

Stub

CarlosRosado's picture
CarlosRosado
Posts: 76
Joined: Dec 2017

I ll see the oncologist tomorrow    Wish me luck

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