MIBG Whole Body Scan:
Persistent increased MIBG localization is seen in the medial left upper mediastinum and at the left supraclavicular region. Tracer distribution is otherwise stable and unchanged. No new focal areas of abnormal MIBG localization is seen in the visualized portions of the chest, abdomen, or pelvis.
Little change since 8/12/08. No new areas of abnormality identified.
CT Scan Neck / Chest / Abdomen / Pelvis:
CHEST Findings: There is an enhancing, high left paratracheal nodule measuring 1.4 x 0.9 cm, previously 1.5 x 0.9 cm, and subjectively unchanged. This lies lateral to the esophagus. The mediastinum and hila are otherwise normal and there is no other adenopathy. The thoracic spine, ribs, clavicles, sternum, scapulae, and visualized portions of the proximal humeri are unremarkable. The lungs are normal. The trachea and central airways are normal.
ABDOMEN Findings: The liver and gallbladder, spleen, pancreas, and adrenal glands are normal. The kidneys and proximal ureters are normal. The colon and small bowel are normal.
PELVIS Findings: The colon and small bowel are normal. The bladder is unremarkable. The muscles of the pelvis are unremarkable.
Stable, 1.4 x 0.9 cm enhancing high left paratracheal nodule lateral to the upper esophagus. Otherwise negative contrast enhanced chest, abdomen, and pelvis CT. Gastronomy tube remains in good position.