Wednesday, April 28, 2010

Pelvic Transvaginal 4-28-10

 Tamoxifen therapy, evaluation for endometrial thickness and appearance is requested.

Technique: Endovaginal sonographic images of pelvis were obtained.

Findings: The uterus is normal in echogenicity and size. No focal uterine lesion is identified.  The ovaries are normal bilaterally.  Normal pelvic ultrasound.

Thursday, April 8, 2010

PET/CT SCAN 4-8-2010


Findings: No abnormal metabolic activity is seen in either breast on today's examination.  There are no enlarged or metabolically active axillary nodes.  Metabolic activity throughout soft tissues of the neck, thorax, abdomen, and pelvis is physiologic (remember physiologic is good).  No pulmonary nodules are seen.  There is no evidence for malignant adenopathy.  The liver appears homogeneous. 

Extensive osseous (bone) metastases are again seen.  Mixed sclerotic lytic changes are seen throughout the axial and appendicular skeletal structures on the mapping CT.  There are numerous hypermetabolic bone lesions and inhomogeneity.  There has been a mixed response when compared to a previous study.  A posterior left iliac bone metastasis now has a peak SUV of 6.6 compared to 8.9 indicating some improvement.  There is however increased metabolic activity in the L2 vertebral body with peak SUV of 7.2 compared to 5.2 on the previous study.  Activity within the left acetabulum has increased from 6.7 to 9.3.  Metabolic activity in a left femur has increased from 7.3 to 9.8.  There appears to be decreased metabolic activity in some of the midthoracic vertebral bodies.

Previous PET/CT SCAN: January 28, 2010