Findings: Imaging through the head and neck shows no findings suggestive for malignancy. Imaging through the chest shows no evidence of hypermetabolic lung parenchymal disease, hilar, or mediastinal adenopathy. There is no hypermetabolic activity in the breast tissues. Imaging through the abdomen and pelvis continues to show normal physiologic distribution of radiopharmaceutical. Imaging of musculoskeletal structures show massive improvement of the hypermetabolic osseous metastatic disease. The vast majority of lesions are well visualized on the mapping CT, but no longer measurably hypermetabolic. The only area of residual hypermetabolic activity is in the left sixth rib laterally. Even this area shows less hypermetabolic activity than on the previous exam.
Impression:
1. Marked improvement in the osseous metastatic disease when compared to the previous study.
2. The only residual hypermetabolic bone lesion is in approximate the left sixth rib laterally. Even this area has improved from the prior exam.
3. No hypermetabolic soft tissue disease noted.
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