CT Chest with IV Contrast dated 7/9/2015.
CT Abdomen and Pelvis with IV Contrast
Comparison: None.
Indication: 202.80 Other malignant lymphomas, unspecified site, extranodal
and solid organ sites, Restaging.
Technique: CT imaging was performed as part of a diagnostic PET CT. Imaging
was performed following the uncomplicated administration of intravenous
contrast. The patient received 120 mL of Isovue 300 at a rate of 1.8
mL/sec. The most recent serum creatinine is 0.6 mg/dL. Coronal reformatted
images are provided for review. The imaging is performed as a portion of a
PET CT examination, and this report refers to the CT findings within the
chest, abdomen, and pelvis; please also see the separate report for the PET
imaging.
Findings:
Chest:
There are no pulmonary nodules or significant pulmonary opacities. The
central airways are patent. There are no pericardial or pleural effusions.
The heart and mediastinal cardiovascular structures are within normal
limits. There is a left chest Port-A-Cath with distal tip in the right
atrium There is no significant mediastinal, hilar, or axillary
lymphadenopathy. Known enlarged lymph nodes are seen in the bilateral
axillary regions. The smaller lymph nodes do not demonstrate a definite
tiny hilum, a finding that may be related to the small size of these
lesions. Soft tissue density seen in the anterior mediastinum, separate
from the left brachiocephalic vein, favored to represent rebound thymic
hyperplasia, although a primary thymic neoplasm or lymphomatous involvement
cannot be excluded (series 3, image 52). The visualized thyroid glad is
normal in size, with no evidence of thyroid nodules.
Abdomen/pelvis:
The liver is normal in size and appearance. There are no focal
abnormalities. The portal vein and hepatic veins are patent. There is
no intra or extrahepatic biliary ductal dilatation. The gallbladder is
unremarkable. The spleen and pancreas are normal in size and appearance.
There is no dilatation of the main pancreatic duct and secondary ducts.
The kidneys are normal in size and demonstrate symmetric and homogeneous
enhancement. No pelvicaliectasis or ureterectasis on either side. The
adrenal glands are unremarkable. The bladder is unremarkable.
The small bowel and colon are normal in caliber, with no evidence of focal
or diffuse bowel wall thickening. The uterus is normal in size and appears
to be retroverted. A low-attenuation ring structure is seen within the
upper mid vagina, likely representing a contraceptive ring. The right ovary
is normal in size and demonstrate a rim-enhancing structure suggestive of a
corpus luteum (series 3, image 183). The left ovary is unremarkable. There
is no significant retroperitoneal, pelvic, mesenteric, or inguinal
lymphadenopathy. Small amount of fluid is seen in the pelvic cul-de-sac, a
physiologic finding.
There are no aggressive appearing osseous lesions.
Impression:
1. No definite evidence of lymphoma recurrence in the chest, abdomen and
pelvis.
2. Soft tissue density in the anterior mediastinum is favored to represent
rebound thymic hyperplasia. Less likely differential consideration however
would include a primary thymic neoplasm or confluent lymphadenopathy.
Correlation with prior imaging studies would be helpful if available.
Electronically Signed by:
Electronically Signed on: 7/9/2015 1:27 PM
CT Chest with IV Contrast dated 7/9/2015.
CT Abdomen and Pelvis with IV Contrast
Comparison: None.
Indication: 202.80 Other malignant lymphomas, unspecified site, extranodal
and solid organ sites, Restaging.
Technique: CT imaging was performed as part of a diagnostic PET CT. Imaging
was performed following the uncomplicated administration of intravenous
contrast. The patient received 120 mL of Isovue 300 at a rate of 1.8
mL/sec. The most recent serum creatinine is 0.6 mg/dL. Coronal reformatted
images are provided for review. The imaging is performed as a portion of a
PET CT examination, and this report refers to the CT findings within the
chest, abdomen, and pelvis; please also see the separate report for the PET
imaging.
Findings:
Chest:
There are no pulmonary nodules or significant pulmonary opacities. The
central airways are patent. There are no pericardial or pleural effusions.
The heart and mediastinal cardiovascular structures are within normal
limits. There is a left chest Port-A-Cath with distal tip in the right
atrium There is no significant mediastinal, hilar, or axillary
lymphadenopathy. Known enlarged lymph nodes are seen in the bilateral
axillary regions. The smaller lymph nodes do not demonstrate a definite
tiny hilum, a finding that may be related to the small size of these
lesions. Soft tissue density seen in the anterior mediastinum, separate
from the left brachiocephalic vein, favored to represent rebound thymic
hyperplasia, although a primary thymic neoplasm or lymphomatous involvement
cannot be excluded (series 3, image 52). The visualized thyroid glad is
normal in size, with no evidence of thyroid nodules.
Abdomen/pelvis:
The liver is normal in size and appearance. There are no focal
abnormalities. The portal vein and hepatic veins are patent. There is
no intra or extrahepatic biliary ductal dilatation. The gallbladder is
unremarkable. The spleen and pancreas are normal in size and appearance.
There is no dilatation of the main pancreatic duct and secondary ducts.
The kidneys are normal in size and demonstrate symmetric and homogeneous
enhancement. No pelvicaliectasis or ureterectasis on either side. The
adrenal glands are unremarkable. The bladder is unremarkable.
The small bowel and colon are normal in caliber, with no evidence of focal
or diffuse bowel wall thickening. The uterus is normal in size and appears
to be retroverted. A low-attenuation ring structure is seen within the
upper mid vagina, likely representing a contraceptive ring. The right ovary
is normal in size and demonstrate a rim-enhancing structure suggestive of a
corpus luteum (series 3, image 183). The left ovary is unremarkable. There
is no significant retroperitoneal, pelvic, mesenteric, or inguinal
lymphadenopathy. Small amount of fluid is seen in the pelvic cul-de-sac, a
physiologic finding.
There are no aggressive appearing osseous lesions.
Impression:
1. No definite evidence of lymphoma recurrence in the chest, abdomen and
pelvis.
2. Soft tissue density in the anterior mediastinum is favored to represent
rebound thymic hyperplasia. Less likely differential consideration however
would include a primary thymic neoplasm or confluent lymphadenopathy.
Correlation with prior imaging studies would be helpful if available.
Electronically Signed by:
Electronically Signed on: 7/9/2015 1:27 PM