Thankyou Theo. x x

I have had the results of my scan and they are good. I have a small progression in the top left of the left lung. The rest is stable, Dr Meso is hoping to sort this out with radio therapy if he can. It is maybe overlapping the lymph I had radio therapy on last November. If it is overlapping, he won't do it. Then it will be Germany with PCT funding. It has been refused but I will apply again and will fight to get it.

Frederick, the TOF, is still very active. The clip completely missed the spot. That means there will be an op to close the TOF.

All in All it was a good result. : )

Imaging report.

Imaging report.

CT and upper abdomen.

History: Mesothelioma. Incidental tracheo-oesophageal fistula.

Comparison is made with the May 2010 scan.

The oesophageal stent has now been removed although there is a small metallic foreign body seen

immediatley adjacent to the trachea-oesophageal fistula lying within the oesophagus. The nature of this is unceratin.

It could peotentially represent a strut from the previous stent.

(it isn't a strut, it is a resolution clip from the TOF endoscopy I had)

On this occassion there is infective change in the right upper lobe which is new. There is partial volume loss in the middle lobe

which is long standing.

The tree-in-a-bud abnormality in the left lung which is presumably infective, if anything, is slightly better on this scan.

Regards the mesothelioma is some evdidence of progressive pleural disease at the left apex.

For example, the soft tissue mass adjacent to the left subclavanian previously measured 11 x 22 mm

and now measures 22 x 36 mm. The disease at the left base is however unchangedin appearance.

The paraaortic adenopathy is slightly smaller as is the para-aortic adenopathy.

There is still no evidence of disease in the diaphragm.

Conclusion : Mixed response with increase in the pelural disease at the left apex but slight improvement in

the mediastinal deisease