Here is the CT report:
CT ChestClinical Statement: Hodgkin lymphoma post chemotherapy. Residual mediastinal mass; evaluation of pulmonary nodules; post Bleomycin lung toxicity.Technique: Helical pos contrast images were obtained from the thocacic inlet to the diaphragm.Comparison: 11/11/02Findings: The dominant hypodense prevascular lesion is decreased in size and attenuation a 2.7x1.8cm, previously 3.3x2.3cm. Triangular shaped soft tissue extending along its antrosuperior margin has slightly increased, consistent with thymic hyperplasia. Additional mediastinal adenopathy is decreased, with subcarinal now measuring 1cm AP, previously 1.6cm. No effusion. Two left upper lober punctate nodules, three subcentimeter left upper lobe nodules are likelt unchanged. There are, however, two new ill-defined subcentimeter nodules medially in the right upper lobe, and in the left lower lobe. No interstitial disease or fibrosis. No osseous change.Impression:1. Slightly decreased residual mediastinal adenopathy, with evidence of treatment.2. 2. New subcentimeter right upper and left lower lobe punctate nodules may represents inflammatory or infectious disease, but short interval follow up CT suggested for confirmation.3. No evidence of interstitial pneumonitis.
In short this means:
1. The
primary residual mass in my chest has shrunk
2. My Thymus
(an orgran of the immune system) may be enlarged.
3. Other
smaller masses in my chest have decreased in size or are the same
4. There are
two new nodules in my chest, less than a centimeter.
5. There is
no effusion or other indication is disease.
My comments:
1.
This is obviously good, the residual mass is
likely scar tissue.
2.
Unsure of what to make of this. The doctor didn’t mention it to me and I had
not seen the report when I met with him so I was unable to ask. He didn’t think it was worth mentioning so
‘meh’.
3.
Same as 1
4.
Urgh, well that is annoying. These are very small and not nearly
interesting enough to warrant concern especially given the lack of related
symptoms and good blood work.
Unfortunately it does mean more scanning and radiation but that is
certainly more appealing than getting biopsied (which probably isn’t even an
option due to the small size of the nodules, I believe they need to be 2cm or
larger to be able to effectively biopsy with an endoscope).
5.
Good.
So that concludes my six month check-up. I would have preferred “all is well, screw
off for six months” instead of having to go back in September for more testing
but obviously it could be worse, much worse.
-----
In other news I have recently started training to compete in
a triathlon with Team in Training to fundraise for the Lymphoma and Leukemia
Society of Canada. Aside from crashing
my bike once (oops, luckily was not significantly hurt) training is going very
well, my cardiovascular fitness and strength are both better than they have
ever been. If I get around to it I may
post a training video. If you’d like to
donate some money to LLSC I’d really appreciate it and you’d be doing some good
in world. :)
I am having a huge lymph in the neck removed Jan 7,the ENT said he has not seen so many swollen lymphs in a CT in one person before ? Have not been diagnosed with lymphoma as yet but scarred. What where your original signs ? Mine ;
ReplyDeleteBody itchy,
Sores on my arms.back neck huge collor bone area big,groin area swollen with ingrown hair bumbs (yuk),cramps belly upset sweaty,no sleep no energy ,vision poor. Any comments ?
russell robertson...
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