CLINICAL DATA:  Metastatic endometrial cancer, assess treatment
response

EXAM:
CT CHEST, ABDOMEN AND PELVIS WITHOUT CONTRAST

TECHNIQUE:
Multidetector CT imaging of the chest, abdomen and pelvis was
performed following the standard protocol without IV contrast. Oral
enteric contrast was administered.

COMPARISON:  [DATE]

FINDINGS:
CT CHEST FINDINGS

Cardiovascular: Right chest port catheter. Scattered aortic
atherosclerosis. Left coronary artery calcifications. Normal heart
size. No pericardial effusion.

Mediastinum/Nodes: No enlarged mediastinal, hilar, or axillary lymph
nodes. Thyroid gland, trachea, and esophagus demonstrate no
significant findings.

Lungs/Pleura: Slight interval enlargement of multiple pulmonary
nodules, largest in the right lung base measuring 2.5 x 1.6 cm,
previously 2.3 x 1.5 cm (series 3, image 114). Interval enlargement
of a flattened nodule of the inferior right upper lobe abutting the
minor fissure, measuring 1.0 x 0.9 cm, previously 0.4 x 0.4 cm
(series 2, image 33). Multiple additional bilateral pulmonary
nodules are unchanged. Small left-sided pleural effusion. No
pneumothorax.

Musculoskeletal: No chest wall mass or suspicious bone lesions
identified.

CT ABDOMEN PELVIS FINDINGS

Hepatobiliary: No suspicious hepatic lesion identified. No
gallstones, gallbladder wall thickening, or biliary dilatation.

Pancreas: Unremarkable. No pancreatic ductal dilatation or
surrounding inflammatory changes.

Spleen: Normal in size without significant abnormality.

Adrenals/Urinary Tract: Adrenal glands are unremarkable. Kidneys are
normal, without renal calculi, solid lesion, or hydronephrosis.
Bladder is unremarkable.

Stomach/Bowel: Stomach is within normal limits. Appendix appears
normal. No evidence of bowel wall thickening, distention, or
inflammatory changes.

Vascular/Lymphatic: Aortic atherosclerosis. Interval enlargement of
multiple retroperitoneal and aortocaval lymph nodes, largest left
retroperitoneal node measuring 2.4 x 1.7 cm, previously 2.0 x 1.2
cm (series 2, image 72). Enlarged left iliac lymph node seen on
prior examination is however significantly decreased in size,
measuring 1.0 x 0.8 cm, previously 2.2 x 1.4 cm (series 2, image
108).

Reproductive: Status post hysterectomy.

Other: Low midline ventral hernia containing multiple loops of
nonobstructed small bowel. No abdominopelvic ascites.

Musculoskeletal: No acute or significant osseous findings.

IMPRESSION:
1. Slight interval enlargement of multiple pulmonary nodules, other
nodules unchanged.
2. No suspicious hepatic lesion identified.
3. Interval enlargement of multiple retroperitoneal and aortocaval
lymph nodes. Enlarged left iliac lymph node seen on prior
examination is however significantly decreased in size.
4. Constellation of findings is consistent with mixed response to
treatment.
