The Sudbrock Scoop

Great healing God!

Dad just sent this to me and I am on cloud nine. This is a remarkable turn around. God is great!

No reappearance of the spot on the lung, lymph nodes are shrinking and he is regaining strengthens and movement in his spine. Thanks so much for your prayers, help and encouragement!

Paul and family

CHEST CT WITH IV CONTRAST 10-12-09

The lung fields are fully expanded and clear. The small nodular density described within the upper lobe on CT of 6-23-09 is not reproduced. Heart and great vessel detail unremarkable other than atherosclerosis. There is no remarkable mediastinal adenopathy present. Chest wall soft tissue symmetry seems preserved.

ABDOMINAL PELVIC CT WITH IV AND ORAL CONTRAST

The liver and spleen remain average in size and uniform in attenuation. The gallbladder without wall thickening or calcified stones, the intra and extrahepatic bile ducts are normal as is the pancreas. There is similar retrocrural adenopathy as reported on 6-23-09. The adrenal glands are normal in appearance as are the kidneys. There is para aortic retroperitoneal adenopathy diffusely through the abdomen, but the previous bulky lymph nodes through this region have significantly decreased in size since radiation therapy. The bowel pattern remains non obstructive without intra peritoneal adenopathy. There is pelvic adenopathy along the course of

the iliac arteries which appears virtually unchanged. The thick walled fluid collection right lateral to the bladder measuring 5.7 cm is again noted, again indeterminent whether this is a necrotic lymph node, lymphocele or bladder diverticulum. The bladder is effaced though by this deformity and the bladder exhibits some bladder wall thickening but is otherwise unremarkable. The prostate gland has been surgically removed. The periprostatic fat planes reveal diffusely increased density, as on the previous examination with knowledge of radiation therapy, this is the most likely explanation for this finding. The groin regions unremarkable.