| Question | Response |
|---|---|
| Lesion Number | TL01 TL02 TL03 TL04 TL05 |
| Date of Assessment | |
| Anatomical Location | Adrenal Gland Arm Axilla Brain Bladder Bone Breast Buttock Ear Other |
| Anatomical Location Other Specify | |
| Laterality | Left Right |
| Directionality | Anterior Posterior Deep Distal Inferior |
| Method of Evaluation | X-Ray CT Scan MRI PET |
| What was the Diameter of the Tumor? | |
| What were the units for the Diameter? | mm cm |
| Reason not measured | Coalesce Split Too small to measure Not Evaluable |
| If Not Evaluable (NE), select | Cavitation Necrosis Fibrosis Poor Scan Quality Other |
| Sum of Target Lesion Diameters |