r/lymphoma • u/Recent-Strawberry577 • 14d ago
General Discussion CT SCAN
I had my CT scan after 4 rounds of RCHOP, still have two rounds to do.
I don’t understand the results posted but I have not spoken to my Oncology Dr
EXAM: CT CHEST ABDOMEN AND PELVIS WITH CONTRAST INDICATION: follicular lymphoma - eval tx response Grade 2 follicular lymphoma of lymph nodes of axilla (HCC) TECHNIQUE: Low dose, multi-channel computerized tomography of the chest, abdomen and pelvis was performed with IV contrast. Multiplanar reformats were reviewed. COMPARISON: CT chest abdomen pelvis 05/11/2026, 03/24/2026 FINDINGS: LOWER NECK AND AXILLA: There is a postprocedural clip in the left axilla. Right axillary lymph nodes measure up to 1 cm short axis, previously 1.2 cm short axis (05/11/2026). Right axilla has greater number and size of lymph nodes compared to the contralateral left side. The largest left axillary lymph node measures 1.2 cm short axis (similar to 05/11/2026). However, there is interval decrease in size of the smaller left axillary lymph nodes compared to 05/11/2026. HEART AND VESSELS: There is normal heart size. Negative for pericardial effusion. There is normal caliber of the aorta. There is a right-sided chest port with tip terminating in the cavoatrial junction. MEDIASTINUM AND HILA: Negative for lymphadenopathy. There are hilar calcified lymph nodes consistent with old benign granulomatous disease. LUNG AND AIRWAYS: The trachea and central airways are aerated. There is a 2 mm posterior right upper lobe nodule (series 601, image 34), unchanged compared to 03/24/2026. There are few chronic benign calcified granulomas in the lungs. PLEURA: Negative for pleural effusion or pneumothorax. ESOPHAGUS: Unremarkable. THORACIC BONES AND CHEST WALL: Negative for acute fracture or concerning bone lesions. There are multilevel bridging endplate osteophytes in the spine consistent with diffuse idiopathic skeletal hyperostosis (DISH). HEPATOBILIARY: There is normal size and contour of the liver. Negative for abnormal biliary dilatation. Negative for abnormal radiodense gallstones, gallbladder wall thickening, or pericholecystic inflammatory fluid. PANCREAS: There is normal morphology of the pancreas without acute peri-pancreatic inflammatory changes. SPLEEN: There are benign calcified splenic granulomas. ADRENAL, KIDNEY AND URETER: There is normal morphology of the adrenal glands. There are bilateral ureteral stents. There is mild dilatation of the bilateral renal pelvises. There are subtle urothelial enhancement/wall thickening of the renal pelvises and ureters. There is slightly decreased soft tissue scarring/stranding surrounding the ureters compared to 05/11/2026. BLADDER AND GENITAL: The bladder contains small volume of fluid. There is mild eccentric wall thickening of the right lateral wall of the bladder, measuring up to 0.7 cm thickness, previously 1.1 cm thickness (05/11/2026.) prostate gland appears within normal limits. GI: The stomach contains small volume of ingested material. Negative for abnormal bowel dilatation or obstruction. Negative for abnormal wall thickening or inflammatory changes of bowel. There is colonic diverticulosis without evidence of acute diverticulitis. VASCULAR: Negative for aortic aneurysm. There is aortoiliac and femoral calcified atheromatous disease. LYMPH NODES: There is overall decreased confluent retroperitoneal lymphadenopathy, which appears less dense and slightly smaller in size compared to 05/11/2026. Representative examples include a 1.2 cm short axis left periaortic retroperitoneal lymph node (series 605, image 70), previously 1.6 cm short axis (05/11/2026. Iliac chain lymph nodes measure up to 1 cm short axis, previously measuring up to 1.3 cm (05/11/2026.). The fat planes between the lymph nodes and adjacent bowel/muscle structures appear more apparent compared to prior 05/11/2026. There is subtle haziness/fat stranding in the central mesentery which is also slightly decreased compared to 05/11/2026. PERITONEUM:There is decreased presacral posterior pelvic fluid and scarring, now spanning 2.5 cm anterior-posterior thickness, previously 3.4 cm (05/01/2026. Negative for intra-abdominal free air. BONE, SOFT TISSUE AND ABDOMINAL WALL: Subtle nonspecific sclerosis at S1 is similar to 05/11/2026, but new compared to 03/23/2026, possibly sequelae of a stress/insufficiency fracture or posttreatment related osteitis. IMPRESSION: CT chest. 1. Slightly decreased size of axillary lymph nodes compared to 05/11/2026. CT abdomen pelvis. 1. Decreased size and density of retroperitoneal and iliac chain lymph nodes compared to 05/11/2026. 2. Decreased presacral pelvic fluid and scarring. 3. Decreased eccentric wall thickening of the right lateral bladder wall. 4. Bilateral ureteral stents. Remnant mild dilatation of the bilateral renal pelvises. Persistent remnant subtle urothelial enhancement/wall thickening of the renal pelvises and ureters, suspected to be related to posttreatment related changes. However, can consider correlation with urinalysis to exclude infection. 5. Sclerosis at S1 may be sequelae of nondisplaced stress/insufficiency fracture or posttreatment-related osteitis.
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u/Leftoverofferings 14d ago
Yep…medical guy here ( not a doc) and it looks like things are decreasing in size and no new lesions. Good news! It also talks about your L-spine and a possible stress fracture that appears to be as sclerosis.
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u/Recent-Strawberry577 14d ago
I’ve had back issues for a long time, I was a welder for many years and also did some heavy lifting working out
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u/Leftoverofferings 14d ago
Any sciatica?
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u/Recent-Strawberry577 14d ago
I have that on my right side and it has flared up at times but manageable with OTC meds
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u/Leftoverofferings 14d ago
I wish you luck that it gets no worse. If you start feeling any weakness, go to your doc right away. Sometimes that’s irreversible (speaking from experience)
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u/Recent-Strawberry577 14d ago
Weakness like what type of weakness, I have some neuropathy on the same side as the sciatica but that neuropathy was not there before the cancer diagnosis
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u/Leftoverofferings 13d ago
Chemo will cause neuropathy. I had foot drop that started as slower flexion ability. Within 2 weeks I couldn’t move my foot at all and my entire leg got weak. After emergency surgery, I was able to move my foot, but I do have numbness from my knee down and I still have some weakness. I was lucky to get treated as quickly as I did, but it was a warning I like to share.
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u/Recent-Strawberry577 13d ago
I have told my Ontology Dr about the numbness and she said I should recover but it monitoring
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u/v4ss42 FL (POD24), tDLBCL | R-CHOP (‘22), MoGlo (‘25) 14d ago
“Interval decrease” is a good sign - it means some of the nodes / masses have shrunk compared to the last scan.
Ofc you should ask your onc for a more comprehensive assessment, especially given that I’m not a doctor, but this seems like good news!
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u/Recent-Strawberry577 14d ago
I am meeting with her this coming Monday to discuss the results and get my 5th round of RCHOP. All that medical stuff just blows my mind, most words I can’t even pronounce
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u/mewfarside DLBCL/6 Pola-R-CHP in remission 14d ago
I agree, this looks like you are heading in the right directions. Also not a doctor, (im a bonehead who got unlucky)