Just received report of last Wednesday's CT scan.  I was told that I woud be
unable to get the films until the end of the  week because  the  '"dark room
was 'down.'"  
Okay--here is report--of CT scan of the chest, abdomen and pelvis w/contrast
done on 11-26 -03.  
"CHEST: The lung firelds are clear.  I detect no hilar or mediastinal mass or
adenopathy.  There are surgical clips in both axilla; patient is status post
bilateral mastectomies."
ABDOMEN AND PELVIS: There is a solitary 1.8 cm diameter oval hypodense lesion
in the dome of the medial segment left lobe of liver just beneat the diaphragm;
there is some peripheral enhancement along one portion of this lesion.  This
may represent a hemangioma, but the appearance is still nonspecific.  No other
liver lesions are identified.   The speen, pancreas, kidneys and adrenals
appear unremarkable.  There are several intrarenal, periaortic and aortocaval
lymph nodes, most measure up to 1.0 cm in size.  There is one aortocaval node
measuring about 2.5  x 0.5 cm.
IMPRESSION:
1. No abnormality noted in the chest.
2. 1.8 cm sized lesion medial segment left lobe of liver just beneath the dome
of the diaphragm.  This ay represent a hemangioma.  This may be more accurately
characterized as a triple phase CT scan of the liver, however, that also may
not be definitive.
3. Several mildly enlarged periaortic and aortocaval lymph nodes as described."
It is obvious that the radiologist did not compare this report with the last
scan/report of the 3-phase CT.   He is the same radiologist who read the
3-phase CT scan that was done last July.
I put a call into my oncologist to discuss the results of the report.  I
received a call back from the nurse--that they couldn't find my previous films
to compare.   I then called radiology and talked to the gal in charge of films.
She said all my films were there--they were in 4 jackets.  The tech. only gave
the radiologist my most recent jacket rather than going through and getting all
the CT scans.   The radiologist didn't bother to look any further.  
I am most concerned about the 2.5 cm lesion in the aortocaval node.  My first
CT scan report indicated that it was less than 1.0 cm.  I am not sure of the
others.  The last 2 CT scans reported 2 lesions in the liver.  The last 4 CT
scans reported that the single lesion, which may be an hemangioma was 2.0 cm.
Either they have shrunk and/or gone away with current meds or ?
I am not quite sure where/what an aortocaval node is but researching it I come
up with retroperitoneum, displacement of pancreas and even spinal
involvement...hmmm....