Looks like we are going to get a biopsy or two.FINDINGS: There is hypermetabolic activity noted at the site of multiple surgical clips along the medial aspect of the right lower lobe [the doctor is referring to his lone lobe - since the other two were removed, in case you are getting confused] where soft-tissue prominence is evident. This has a maximum SUV of 8.4 and is quite concerning for recurrent tumor. Additionally, contiguous with this site of abnormal activity islobulation of the posterior pleural margin on the right with associated hypermetabolic activity identified on the PET/CT scan with a maximum SUV of 6.2. One additional site of hypermetabolic activity is noted anteriorly along the pleural margin (image 107) where additional pleural-based lobulation is noted.
This has amaximum SUV of 5.2.
IMPRESSION: Hypermetabolic activity associated along the right lung base at the site of surgical clips and with the lobulated pleural thickening, predominantly observed posteriorly although a focus is also noted anteriorly. The appearance is quite concerning for recurrent/metastatic lung cancer.
Rob's comment was, "Looks like we've got a bunch of SUVs and it is not cars."
(SUVs are the level of uptake from the radiation - the higher it is, the greater chance of cancer. Last time, he had two sites with SUVs of: 5.5 and 3.7 [which, incidentally, they said that the 3.7 score was too low to be cancer, HA! Rob proved them wrong, didn't he?] and this time: 8.4, 6.5, and 5.2).
3 comments:
Thinking about you and praying for you. I wish love could make it all better - because we're sending you tons. Love, Heber and Peri
You guys...........We love you so so much. And are praying for you.
Love, Rich and Sharon and Kiara and Indigo and Samuel...
We love you and are praying for all of you as well.
Love, Chad, Angie and Abby.
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