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What does this CT scan report post radiotherapy indicate?

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Posted on Thu, 12 May 2016
Question: Diagnosis T1N3 stage 3b adenocarcinoma of lung, primary left lower lobe. Has had chemo and radio therapy.
Most recent CT scan report states - new pulmonary nodules in the right lung with post radiation changes including collapse of the medial aspect of the left upper and lower lobes. Interval increase in size of left perihilar mass with multiple new nodular pulmonary densities on the right suggestive of metastatic disease. Sclerotic bone lesion at the C5, C7 and T1 levels not seen on previous imaging, likely new metastatic change.
The patient has severe COPD. Can you break down what this report is stating and what it means?
doctor
Answered by Dr. Vivek Chail (3 hours later)
Brief Answer:
Cancer has unfortunately spread to right lung and spine

Detailed Answer:
Hi,
Thanks for writing in to us.

I have read through your query in detail.
Please find my observations below.

Following are the findings explained in simple language.

1. The new CT scan shows that there are post radiotherapy changes in the left chest causing collapse of left lung upper and lower lobes.

2. New lung nodules are seennin right lung which probably indicates metastatic spread.

3. There are changes in the spine on neck region which also can be due to spread of cancer.

4. The mass in peri hilar area has increased in size.

5. The cancer is unfortunately spreading from what is understood in the new CT scan. Cancer is a bigger problem than COPD in this patient.

Hope your query is answered.
Please do write back if you have any doubts.

Regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Vivek Chail (9 hours later)
Thanks for your reply
Are you able to give a prognosis on life expectancy for people with this condition? We have been previously advised that chemo and radiation are not options as she became very ill after the initial chemo/radiation regime. I would say she would have a functional status of PS3
Thanks again
doctor
Answered by Dr. Vivek Chail (1 hour later)
Brief Answer:
She can survive for a year in my experience with cancer patients

Detailed Answer:
Hi,
Thanks for writing back with an update.

1. I have worked in a cancer research center. With this CT finding a patient can survive till 2 years if general health is PS 2. In PS 3 the survival can stretch for a year. Every patient is different and survival depends on physical health and will power. I wish your patient a long survival.

Hope your query is answered.
Please do write back if you have any doubts.

Regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Vivek Chail

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Practicing since :2002

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What does this CT scan report post radiotherapy indicate?

Brief Answer: Cancer has unfortunately spread to right lung and spine Detailed Answer: Hi, Thanks for writing in to us. I have read through your query in detail. Please find my observations below. Following are the findings explained in simple language. 1. The new CT scan shows that there are post radiotherapy changes in the left chest causing collapse of left lung upper and lower lobes. 2. New lung nodules are seennin right lung which probably indicates metastatic spread. 3. There are changes in the spine on neck region which also can be due to spread of cancer. 4. The mass in peri hilar area has increased in size. 5. The cancer is unfortunately spreading from what is understood in the new CT scan. Cancer is a bigger problem than COPD in this patient. Hope your query is answered. Please do write back if you have any doubts. Regards,