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Today's pet fantastic. Thank you God.!

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The house is the worst it's ever been but I am joyful in the extreme. I have life. Strength and hope. On a few challenges re money for more treatments and housing. 

My God has allowed me more life and that is the best gift. I am grateful. God never said survival would be easy or fast. 

Jump to the conclusion below. I wanted completely cancer free. But this result fantastic.

The German magic continues. I have thanked my god, doctors, family and friends.

Patient's Name: Peter Trayhurn
MRN: 1258812
DoB: 25/8/1966
Referring Dr: Bell, DR
Study: PET-CT Whole Body Study
Date of Study: 24/4/2014

Report:

The current study was compared to the previous study from January 2014.

There are no large mass lesions in the brain.

The nodular abnormality seen in the epigastrium just below the diaphragm and directly below the right ventricle is slightly smaller and slightly more heterogeneous than it was on the previous study; it corresponds to a clear hypodensity in the liver on the current study where as previously this hypodensity was not evident and its diameter on the current scan this 16 mm; peak SUV is 9.0, which is approximately a 25% reduction in peak metabolism. There are no new abnormalities in the rest of the liver. The focal abnormality seen just beneath the left hemidiaphragm and above the stomach is also more heterogeneous on the current study and it is also less glucose avid with a peak metabolism of 5.0 when compared to 6.8 on the previous study. There are no new abnormalities in the rest of the upper abdomen; the peritoneum is clear as are mesenteric, para-aortic and pelvic lymph nodes. The spleen is normal as are the kidneys. There are no abnormalities in inguinal lymph nodes. There a
 re no focal abnormalities in loops of bowel. Above the diaphragm the right lower lobe nodule is slightly smaller at 7 mm in diameter and it has a slightly heterogeneous appearance on our imaging suggesting some central necrosis and peak metabolism is reduced at 1.6. There are no new nodules in the right hemithorax on our imaging; the small nodule in the left upper lobe of the lung measures 5 mm and peak SUV is identical at 1.3 to the previous scan. There are no new nodules in the rest of the left lung. Hilar and mediastinal nodes are clear. Lymph nodes at the base of the neck are clear. There are no abnormalities in the bony skeleton. The remainder of the study is normal.

Conclusions:

There has been a reduction in glucose metabolism in three of the four lesions identified on the previous study and three of them also appear smaller. These are encouraging findings. There are no new sites of disease.

Prof MJ Fulham and Dr S Gnaneswaran
24/4/2014

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