Hello everyone,

This will be long, so please feel free to skip this message.   I got a
report from a recent PET scan that is not very good.  I thought I was
listening when my doc told me what it all meant, but apparently not, as now
I'm not sure about all of it.  Any insight you could give me would be
appreciated--here goes:

FINDINGS:  Compared to the previous exam, there is worrisome interval
change.  The present study shows evidence of right infrahilar adenopathy and
probable left suprahilar adenopathy or internal mammary adenopathy.   In
addition, there is a focus of abnormal pulmonary parenchymal activity in the
mid left lung, which is new since the previous study.  There is some
curvilinear increased activity overlying the left apex, which is also
slightly more reactive compared to the previous exam with a current SUV of
3.3 compared to 2.9 on the previous study.  There is persistent increased
metabolic activity in the posterior medial aspect of the left lung base.
That SUV value has reduced significantly from 6.6 to 2.9, but is still
distinctly abnormal, suggesting either a paraspinal mass or a pulmonary
parenchymal mass at the medial lung base.

IMPRESSION:  Evidence of mediastinal adenopathy and pulmonary parenchymal
involvement, new since the previous PET scan.  Slightly more intense
activity in the chest wall at the left apex.  Slightly reduced activity at
the medial left lung base.  These findings are worrisome for progression of
thoracic metastatic disease involvement.

I will follow-up with a CT scan in the near future.  Also had a CA 27.29
test, don't know the results yet, but I'm sure it went up as it has been
doing every month for a long time.

I know you're not doctors, but I do find your input insightful and helpful.
Thanks for any thoughts--good, bad, or indifferent--that you can offer.

--
Michelle

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