Please explain the CECT report taken after six cycles of chemotherapy.

Hi,

Welcome to icliniq.com.

I thoroughly read your query and understand your concern.

I have gone through the attachment (the attachment is removed to protect the patient's identity). The scans look quite reassuring. There is nodular enhancement involving the left diaphragmatic pleura with minimal pleural effusion. Background fibrotic changes are seen in the bilateral upper lobes. The head, body, and tail of the pancreas appear healthy with no focal solid-cystic lesion or area of calcification. The gallbladder seems normal. There is no intrahepatic biliary radicle dilatation seen. There is no focal lesion seen in the liver or spleen.

A small cystic lesion is noted in the mid pole of the right kidney, and it is like a simple cyst. The urinary bladder is partially distended and grossly normal. There are no ascites or lymphadenopathy seen. Bowel loops are non-dilated. There is no focal area of thickening seen. The prostate is enlarged, and it needs further evaluation with ultrasound (transrectal ultrasonography) and blood PSA (prostate-specific antigen) levels.

Hope this helps.

Kind regards.

Hi,

Welcome back to icliniq.com.

I understand your concern.

I could see some fibrotic changes, but no focal lesion was seen on the right lung. I would want to see the femurs again as I was just having axial images and would like to see coronal images. I will get back to you soon regarding your concern about the femur and vertebrae.

Hope this has answered your query.

Kind regards.

Hi,

Welcome back to icliniq.com.

I could not access the coronal images. However, on axial images, the left femur shows a sclerotic lesion, which can be either a bone island or a metastatic deposit. I will let you know my suggestion once I get access to coronal reconstruction images. The right femur and vertebrae look fine to me.

Hope this helps.

Kind regards.