“IMPRESSION: Overall Improved Appearance”

YES🤗, from yesterday’s PET scan report: “IMPRESSION: Overall Improved Appearance.” This is excellent news for my long-term well-being since the doctor said it means the current treatment plan is providing a positive outcome, and the longer I don’t have to change treatment plans, the better.

When people ask me how I am I’ve been saying “I don’t know, sometimes better, or worse, or the same. I’ll wait for the test and let science say.” Science says better so YAY. And even when I feel worse or the same, still, the answer is I’m Better!

Continuing complaints which pale in light of “Overall Improved Appearance” include lack of stamina but now that I know the medication is working I hope I can generate the will-power to do more PT On The Regular. The lack of stamina in my legs also impacts flexibility, which, after strength, will be a focus of PT. Very secondarily, the medication does have some chemo in it and my already very few hairs are dropping at a visibly unfortunate rate. And I still need to be prepared to do nothing for several days after the infusion, but that’s not bad since it happens only once every three months. Also of interest, the only time I feel unwell at all is after the infusion and if I’ve done too much. Fortunately aggravation from the infusion and doing too much are both easily remedied by taking a rest.

Here’s SO many thanks to all who have sent blessings my way, you did it! (And as we used to say…back in the olden days…better living through chemistry.)

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It looks like I never shared this image here, it was for my Reading Group who did an amazing meditation for my recovery. They also created deeply heartfelt gifts I appreciate beyond measure. I’m making a place for them all on my wall and will include a picture when it’s done. Below is the first PET scan and a picture of how I want to feel that inspired the meditation and the art projects.

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The Report – unless you’re a big fan of minutia and want to google all these medi-words, please just roll on by!

NECK AND CHEST: Mildly FDG avid left neck lymph node with an SUV max of 2.1, previously demonstrating an SUV max of 2.4.  Left supraclavicular lymph node with an SUV max of 1.3, previously demonstrating an SUV max of 2.9.  No new FDG uptake in the neck.

Mildly FDG avid left axillary lymph nodes with an SUV max of 1.9, overall stable to slightly decreased in FDG avidity since the prior study. FDG uptake in the left breast with an SUV max of 2.1, previously demonstrating an SUV max of 3.1. Mildly FDG avid mediastinal lymph nodes with an SUV max of 2.8, not substantially changed since the prior study.  No other abnormal FDG uptake in the chest.  Coronary artery calcifications.  Several noncalcified pulmonary nodules scattered throughout the lungs with no abnormal FDG uptake, unchanged since the prior study.

ABDOMEN, PELVIS, AND THIGHS: FDG uptake in the left adrenal gland with an SUV max of 4.8, previously demonstrating an SUV max of 2.9, which is nonspecific.  No other abnormal FDG uptake in the abdomen, pelvis, or proximal thighs.  Surgical absence of the gallbladder.

BONES: Multiple FDG avid bone marrow metastases, all of which demonstrate varying degrees of decreased FDG uptake compared to the prior study. For instance, a lesion in the T1 vertebral body with an SUV max of 2.6 previously demonstrated an SUV max of 7.1 and a lesion in the right iliac wing with an SUV max of 6.3 previously demonstrating an SUV max of 7.8.  No new bone marrow lesion.  Interval sclerosis of many of the bone marrow lesions, likely a healing response.
IMPRESSION: Overall improved appearance of the previously seen metastatic disease, as detailed above.

Result History 

PET CT Skull Base To Mid Thigh 9/23/2025 COMPARISON CT of the chest from 7/17/2025 and PET/CT from 3/21/2025

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