Another Great Scan

Another good scan today. It’s always a little worrisome on scan day and usually a few days before but I know God has my back and everything is going to be alright but we are human and can’t help but think about the negatives sometimes. It enters my mind and then I try to push them out and keep myself thinking of happy thoughts. I can’t wait until summer gets here. The winters are rough on me now. I never used to be bothered by the cold but I find myself wrapping up in blankets and have to wear sweatshirts and a fleece jacket at the movies or restaurants etc… My skin is very dry and I itch on my arms and back and head. I try to use lotions but it only gives temporary relief. All of the hair on my arm and legs crack off and most of my legs are hair free from rubbing on my pants. My left side torso still aches and has a dull aching pain but I attribute that to the chest tube that was in my lung. I asked the Dr about it and my Aunt who had a lobectomy on her right lung and she informed me that hers hurt for over a year where the chest tube was inserted and the Dr stated it would be noticeable for a long time. I sometimes put my left hand bent up and apply pressure to my side and it seems to relief the aching for a little while. The rash is still visible but nothing like it was when I was on 150 mg of Tarceva

My Test Results are as follows:

CT INFUSED CHEST - Details

Study Result

Narrative

CT CHEST W 5/24/2017 10:26 AM 
CLINICAL INFORMATION: History of metastatic lung adenocarcinoma. Follow-up.
TECHNIQUE: Contrast enhanced chest CT. 90 mL of Omnipaque 350 contrast material were
administered intravenously. Multiplanar reconstructions, including MIP, MINIP and Slab
images were reviewed.
COMPARISON: Chest CT dated 3/8/2017 and 12/28/2016.
FINDINGS: 
LUNGS AND PLEURA: The pleural spaces are normal.
The solid spiculated pulmonary nodule in the apicoposterior segment of the left upper lobe
remains stable in size and morphology, measuring approximately 12 x 8 mm (image 106 series
207). Focal anterior retraction of the left major fissure is noted. No signs of fissural
transgression. Multiple pleural tags extending to the superior aspect of the left major
fissure, stable from priors.
Small right minor interfissural lymph node is unchanged. No new suspicious pulmonary
nodules are noted. Right lower lobe calcified granulomas. Lingular scarring.
MEDIASTINUM AND HILA: The thoracic aorta and main pulmonary artery are normal in caliber.
The heart is normal in size. No pericardial effusion.
The central airways are patent. No mediastinal or hilar lymphadenopathy. Subcarinal
calcified lymph nodes noted. The esophagus is under distended.
CORONARY ARTERY CALCIFICATION: Mild. 
CHEST WALL: No axillary lymphadenopathy. Stable simple appearing lipoma inferior to the
left axillary fossa. No axillary lymphadenopathy.
UPPER ABDOMEN: Absence of enteric contrast material limits sensitivity for abdominal
pathology. 
Focal splenic hypodense lesion, likely a small cyst or hemangioma, partially included in
the field-of-view although stable from priors. Cortical cyst in the upper pole of the
right kidney is unchanged. Both adrenal glands are normal.
Current exam date/time: 5/24/2017 10:00:00
INDEX LESION MEASUREMENTS
LEFT UPPER LOBE LESION: 1.3 x 0.9 cm (Image 106, Series 207); 1.2 x 0.8 cm on prior
(3/8/2017) (Image 92, Series 5); 1.2 x 1.1 cm on prior (12/28/2016) (Image 45, Series 3);
3.5 x 2.8 cm on prior (8/8/2016) (Image 40, Series 3).
IMPRESSION: 
1. Stable size and morphology of residual spiculated left upper lobe pulmonary nodule. No
evidence of regional nodal recurrence.