Worsening disease within the abdomen and pelvis with multiple new peritoneal deposits and additional implants along the liver and splenic surfaces. Significantly increased moderate volume loculated malignant ascites which encompasses multiple small bowel loops. Currently no evidence for small bowel obstruction. There is also new 5 x 4.1 cm mixed cystic/solid lesion in the left upper abdomen abutting the gastric body. Redemonstration of moderate bilateral loculated effusions, with interval development of a new small right pneumothorax. No significant mediastinal shift. There is circumferential thickening of the mid and distal esophagus with fluid distension of the distal esophagus, suggesting esophagitis (possibly associated with reflux). Mild interval enlargement of a lower paratracheal lymph node abutting the posterior margin of the trachea, as noted above. Scattered sclerotic foci within the left ribs, appearing either new or increased from 08/18/2023, raising concern for additional metastatic lesions.
Worsening disease within the abdomen and pelvis with multiple new peritoneal deposits and additional implants along the liver and splenic surfaces. Significantly increased moderate volume loculated malignant ascites which encompasses multiple small bowel loops. Currently no evidence for small bowel obstruction. There is also new 5 x 4.1 cm mixed cystic/solid lesion in the left upper abdomen abutting the gastric body. Redemonstration of moderate bilateral loculated effusions, with interval development of a new small right pneumothorax. No significant mediastinal shift. There is circumferential thickening of the mid and distal esophagus with fluid distension of the distal esophagus, suggesting esophagitis (possibly associated with reflux). Mild interval enlargement of a lower paratracheal lymph node abutting the posterior margin of the trachea, as noted above. Scattered sclerotic foci within the left ribs, appearing either new or increased from 08/18/2023, raising concern for additional metastatic lesions.
