I was punished for complaining about this. Steady and regular increases in my CA125 during 2021 noted but no additional scans were ordered. I was having bladder pain. No UTIs. So here I am today again not being heard. My depression is over the top. It's my record. I recently was criticized for needing too much control. Well I need control over scheduling so that I can work. I have intense fear of medical mistakes...and there is just reason. My psychologist was recently on Fox31 because the oncology team has launched a virtual psychotherapy service to help patients cope with cancer. What I would give if my only challenge was cancer. My challenge is not just cancer. It's doctors making mistakes and ignoring my input.
- CT 020122 reports tumor has GROWth W CONTRAST
- PRIOR STUDY 021521
Addendum
Signed by Clark, Toshimasa James, MD on 2/22/2022 4:41 PM
ADDENDUM:
On the MR 21 days later a right pelvic sidewall node is evident (in addition to the nodule abutting the bladder). In retrospect on this CT from 2/1/22 there is an isoattenuating nodule along the right external iliac vessels in this location, 23 x 13 mm (7/151) and new since 2021.
Report E-Signed By: TOSHIMASA CLARK, MD at 2/22/2022 4:41 PM
WSN:PACSREM73182
Signed by Clark, Toshimasa James, MD on 2/8/2022 3:23 PM
ADDENDUM:
Ms. Archuleta requests an addendum for a paraaortic node measurement as one was measured before. Representative left paraaortic node near a clip causing streak artifact is about 8 mm short axis (7/119) from 7 mm before. It may be slightly larger but is still not frankly enlarged, and again this region has artifact.
Report E-Signed By: TOSHIMASA CLARK, MD at 2/8/2022 3:23 PM
WSN:PACSREM73182
Study Result
Impression
IMPRESSION:
20 mm apparent nodule atop bladder dome, suspicious for a tumor deposit in this setting. Cystoscopy with EUS may be useful in this setting.
CONTACT INFORMATION:
________________________________________________
This exam was interpreted by a University of Colorado School of Medicine radiology physician. If there are any questions regarding this report or other radiology questions, please feel free to contact a radiologist directly at 720-848-RADS (7237) or if in the UCH hospital or clinics at 8-RADS.
Report E-Signed By: TOSHIMASA CLARK, MD at 2/1/2022 2:42 PM
WSN:PACSREM73182
Narrative
EXAMINATION: CT OF THE CHEST, ABDOMEN, AND PELVIS WITH IV CONTRAST
DATE: 02/01/2022, 1122.
INDICATION: eval for disease, increased ca 125
Was there a contrast reaction? No
Was there a contrast or saline extravasation? No.
TECHNIQUE: Transaxial images of the chest, abdomen, and pelvis were obtained from the apex of the lungs to the ischial tuberosity according to according to routine chest, abdomen, and pelvis protocol.
CONTRAST: Isovue 370, 100 mL.
IMMEDIATE ADVERSE EVENT: None
COMPARISON: 2/15/21
FINDINGS:
CHEST:
Right sided implanted port, tip at cavoatrial junction.
Thyroid: No thyroid lesions.
Thoracic inlet: No adenopathy.
Mediastinum and hila: There is no significant mediastinal or hilar lymphadenopathy.
Heart and great vessels: The heart is normal in size. There are no significant coronary artery calcifications. No pericardial effusion. Great vessels are normal.
Lungs, airway, and pleura: No significant pulmonary nodule or infiltrate is noted.
No pleural effusion.
Breasts and axilla: Bilateral mastectomies. No adenopathy. Stable low attenuation presumed fat necrosis in medial right breast resection bed (7/27).
ABDOMEN AND PELVIS:
Liver: Likely fatty liver, top normal size, but with no detectable focal lesion on this exam.
Patent portal veins.
Bile ducts: Mild common bile duct dilation is presumed due to post-cholecystectomy state given normal bilirubin.
Gallbladder: Surgically absent.
Pancreas: Normal.
Spleen: No splenomegaly
Adrenals: Normal adrenal glands.
Kidneys, ureters, urinary bladder: Kidneys and ureters appear normal. No hydronephrosis.
Urinary bladder is thin walled and distended. 20 x 16 mm nodule atop bladder (7/174) might be a loop of small bowel, but on the prior study oral contrast was given and this didn't enhance (5/172). It was 12 x 12 mm at that time.
Reproductive organs: Uterus is surgically absent. No adnexal masses.
Gastrointestinal tract: Appendix not identified. No pericecal inflammation. No obstruction.
Mesentery: Normal.
Peritoneum: No free air. No free fluid.
Retroperitoneum: No significant lymphadenopathy in the abdomen and pelvis. Stable top normal periportal nodes, nonspecific (e.g. 7/94).
Vasculature: Aorta and IVC appear normal. Retroperitoneal surgical clips noted adjacent to vasculature.
Bones and soft tissue: There is mild degenerative change of the spine.
Images
Component Results
There is no component information for this result.
General Information
Ordered by Kian Behbakht, MD
Collected on 02/01/2022 2:08 PM
Resulted on 02/22/2022 4:41 PM
Result Status: Edited Result - FINAL
This test result has been released by an automatic process.
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