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FULL RESULT: Examination: MRI Abdomen With and Without Contrast, 01/20/2010 Clinical History: Metastatic pancreatic cancer, assess for liver metastasis. Comparison: Comparison is made with prior MRI dated 10/06/2009. Technique and Findings: Coronal FIESTA, axial T2, axial T1 and phase axial postcontrast dynamic imaging and diffusion-weighted imaging was obtained through the abdomen. Findings: A small hemangioma in segment VI of the liver is stable. A subcentimeter T2 hyperintense lesion in segment VII near the dome of the liver (series 5, image 44) is also stable. No metastatic disease is seen in the liver. A new T2 hyperintense nodule measuring approximately 1.4 cm (series 5, image 21) lies just medial to the head of the pancreas and shows enhancement on postcontrast images. It is difficult to say whether this nodule arises from the pancreas or may represent an adjacent lymph node. The treated primary mass in the pancreas is not visualized. A stent remains in the common bile duct. The pancreatic duct is not dilated. The spleen and adrenals appear normal. Bilateral renal cysts are unchanged. A portacaval lymph node measures 1.0 cm in short axis dimensions, slightly increased in size compared with a previous exam in August 2009. No enlarged lymph nodes are seen. Cystic lesions in the paravetebral regions likely represent perineural cysts, unchanged. IMPRESSION: 1.4 cm nodule medial to the head of the pancreas may represent a pancreatic neoplasm or lymph node. No metastatic disease is seen in the liver.
OK, the 'The Good' is that they don't see anything of the old stuff in the liver or the head of the pancreas. 'The Bad' is that they see something that 'MAY BE' a pancreatic neoplasm(code words for PC). 'The Ugly' is that no one knows for sure until I have an EUS sometime next week (to be scheduled, Dr. F got hold of me after 5:00pm friday).
The rest of this post is a Christian message, if that might offend you please don't go on. I do not wish to offend anyone!
So, That's the cold hard facts of things... But, that's not all that needs to be said! Jesus has bestowed many blessings on me, and my family, over the years. The last 26 months have NOT been less of a blessing but, rather, a BIGGER blessing. The experience has strengthened my entire family, brought us closer, and blessed us with many new friends. Our faith has been tested and we have not yielded!
I have fought PC, because I believe that we are supposed to resist the temptation to give up on life. I believe that until Christ literally lets me know that it is Him calling me home, I should resist and fight.
If the Good Lord takes me tomorrow, I am ready and willing. If not, then I will continue to proclaim His Word and testify to His glory until He does call me home. He will, after all, call all of us.
This life is just the beginning of eternity, it is to be lived fully and faithfully so our next step in eternity can be lived to the fullest with the faithful that passed before us and to come after us. This is Christ's promise, a glorious eternity to those who understand and love Him. Accept Christ, if you haven't already. Give me yet another reason to Thank God!!!
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