What’s in a CAT Scan?

I’m ordinarily not one for Gallow’s Humor, but apparently my now 60 years of days are numbered here on Planet Earth. I’m not entirely sure what it is that I am fighting but from the looks of the following I’ve outlived my own death by some weeks. Pretty serious potential cancer diagnosis upcoming here, methinks. Anyway for the benefit of any who are curious, who are long-distance healers, or who just want to send good wishes here is my CAT scan, soon to be followed by my biopsy results (due next week). Treatments, if any, will be blogged here, as will my reactions, etc.

I’m a self-pay. That means we don’t have insurance because we can’t afford it. It also means that I have to go through charming conversations with office people who ask “can you leave a check today?” at the end of a procedure — and with doctors who say “I didn’t do the test you requested because I knew what it was and it would have wasted your money”, and a whole host of other things done to discriminate against people who have no insurance. This is all about having enough vs. relying on what can be provided if you have nearly nothing.

By all lights, according to this I should be six feet under yesterday. I’m not. Ergo, more things are happening here than people understand. This thing reeks of CYA, IMHO. Cancer, and this whole national medical nightmare, like everything else in this country, is motivated by FEAR. This is the same FEAR that has kept us trapped, prisoners of our own devices, for over 20 years, while those with power took even more power, and let the “private sector” determine the flow of everything from care to justice in America.

Further, it’s a protection racket. You’re gonna die if you don’t let us protect you. Frankly, if you’ll pardon the cynicism, I’m going to die anyway — and I could be hit by a car tomorrow.

We should have had this cancer issue solved forty years ago. We haven’t, and the AMA and organizations like it are no where near breaking the field open to provide enough practitioners to tend to the population. Never have been interested in that, oh no, save the big bucks for them that matter.

After three bouts of pneumonia, countless trips to the ER and Immediate Physicians Care facilities, and primary care internists, its inconceivable that all this could be missed. We need preventative exams, up front, baseline scans for everyone, and full internet access to medical records. NOW.

We need national health care.


Here it is:


1. There is a large mass involving the right neck base, right lung apex and right axilla. These have approximate maximum diameters of 9, 7 and 8 cm respectively. This is likely metastatic adenopathy.

2. There is resultant obstruction of the right subclavian and right  internal jugular veins. The superior vena cava fills through right chest wall venous collaterals.

3. The airway is displaced to the left but not obstructed.

4. There are other smaller individual right axillary and mediastinal nodes. These measure up to 2.8cm.

5. The breasts are incompletely imaged. The right breast appears engorged with skin thickening. There are 1.4cm right and 1.7cm left breast nodules.

6. There are diffuse subcutaneous metastatic nodules. These measure up to  2 to 2.5cm. The largest lesions are seen at the left lower paraspinal, epigastric and right lower chest wall regions.

7. There is a large right pleural effusion.

8. There is suggestion of a 3.4cm right middle lobe mass. This may  represent a bronchogenic primary.

9. The right lower lobe is completely collapsed.

10. There are no adrenal masses.

11. There are no adrenal masses.


1. Large right neck base, right apical and axillary mass, likely
metastatic adenopathy.

2. Chest wall and breast lesions, likely metastases.

3. Large right pleural effusion.

4. Possible right middle lobe mass.

5. Right subclavian and internal jugular vein occulsion.

6. Right hydronephrosis.


Leave a Reply

Please log in using one of these methods to post your comment:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s

%d bloggers like this: