CTScan Chest, Abdomen and Pelvis

I had a CTscan of my chest,  abdomen and pelvis on 16 Dec 2011.  My last CTscan was on 13  Dec 2010.

When I had my last CTscan in Dec 2010, the liquid contrast I had to drink after fasting for 4 hours caused indigestion and a bloated stomach and I had to be warded.  For this CTscan, I turned down the oral liquid contrast.  I still had to fast and drink plain water instead but in much lesser amount and I also had the iv liquid contrast during the scan.  I was told that the images would not be as clear.

There is an increase in size and number of the nodules in the right chest wall, right pectoralis (chest muscle) region and the skin.

Bilateral pleural effusions with complete compressive atelectasis (collapse) of left lower lobe (of lung) and partial compressive atelectasis of the right lower lobe.  Lymphangitis (infection of the lymph vessels) is suspected.

There is also a small amount of pericardial (heart) effusion.

My left adrenal gland appears slight nodular, but stable compared to previous scan.

Stones in my right kidney which caused mild hydronephrosis (water in kidney causing swelling).

Suspected nodes around the aorta.

Skeletal metastases with multiple pathological fractures and soft tissue masses at varius levels of the spine.

MRI Lumbar Spine

I was experiencing stiffness and pain in the back and hip area, so an MRI was ordered on 7 Dec 2011.

By now, the pleural effusion in the left chest cavity was back again.

MRI showed "multiple bone lesions consistent with diffuse metastasis, involving both anterior and posterior elements of the vetebrae and the pelvic bones.  A few of these lesions are expansile and protrude into the spinal canal".

I have multiple bony metastases involving the vertebral and pelvic bones, and T12 (thoracic) and L1 (lumbar) bony expansion with consequent narrowing of the spinal canal/neural foramina (openings for nerves to connect with different parts of the body).  This probably explained which I am having pain with my nerves.