CT Scan Reports

As many of you will know, I have come out of the other end of a relatively short cancer episode.

But as many of you won’t know, there were other issues picked up in the CT scans I’ve had which were used to both confirm the cancer’s existence (Oct10) and disappearance (Apr11).

Whether you have medical experience or not, or you have been through the same thing as I have, or similar, you might be able to see what is happening.

While I have been declared cancer-free by the bowel surgeon, he has asked that my GP refer me to an endocrine physician to monitor developments. I will be seeing my GP today to discuss these and other issues.

So here are my two CT reports, abridged (without ellipses) to eliminate unnecessary details –

2 September 2010
History: Preoperative assessment for sigmoid cancer.

Findings: There is an apparent annular constricting lesion at the rectosigmoid junction. This measures approximately 15mm in length.

The liver, spleen, pancreas, right adrenal gland, and kidneys have normal appearance. There is an ovoid low density lesion measuring 26×21mm rising from the left adrenal gland. Note is made of tiny calculus measuring 4mm in the neck of the gall bladder. Lymph nodes composed largely of fat are noted along the external iliac vessels and is within both inguinal regions but these are not pathological. Fatty lymph nodes also noted in the para-aortic region. No significant abdominal or pelvic lymph adenopathy.

No discrete pulmonary nodules in the visualised lung bases.

No destructive bony lesion.

COMMENT:
Annular constricting lesion at the rectosigmoid junction presumably represents the known primary. Non-specific lesion on the left adrenal, and a metastatic deposit cannot be completely excluded. Incidental calculus in the gall bladder neck.

16 April 2011
History: Progress T3 NO MO sigmoid cancer following adjuvant chemotherapy. Progress left adrenal nodule.

Findings: The sigmoid colon cancer has been resected and there is no abnormality at the anastomosis or any other bowel pathology.
No thoracic, abdominal or skeletal metastases are present. Left adrenal nodule is unchanged in size measuring 20 × 26mm in size. The adrenal enhancement/washout study is indeterminate but it is likely to be a benign adenoma.

THORAX: There is no thoracic lymphadenopathy, pulmonary nodules or pleural effusion.

ABDOMEN & PELVIS: No liver metastases are present. A well-defined sclerotic bone lesion in the body of T8 is unchanged from the previous study and is considered to be a bone island.

COMMENT:
- No evidence of tumour recurrence or metastases
- Stable left adrenal nodule has an indeterminate appearance on a contrast/washout study but is likely to be a benign adenoma.

So there you have it. The oncologist sees me on 18May. As for the adenoma and bone-island, I will have to see my GP again about referrals (for some reason I wasn't able to get the pictures to the man last week). But in the meantime, date-cam is added to the list of things I have to go through with diabetes management checks.