### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
My wife that is 31yrs old had a major operation 6mos ago. She had thymic cancer with 3 large malignant thymomas pressed against her right lung her heart and her liver ..they removed her right lung and removed then reconstructed part of her pericardium (lining of her heart) and the tumor on her liver was completely encapsulated so they didn t take a slice of her liver like he though he would have to . Dr. Calhoun of uc davis who is a straight up stud removed 100% of the tumors it looks like so far. Her first 3mos checkup was fine last week for her second checkup they said it was still OK. They called us today and said she needs to come back for another ct scan because they just noticed dark spots on her liver..what would you think this could be?...they think her tumors were very slow growing so it wouldn t make sense that already it would be showing up..but this is a very very rare case. So they don t have a lot of other cases they can refer to. She spent a month in ICU because of every complication in the book..a lot of infections (cdif etc..) I am hoping it s just something like that. what do you think the odds are for all the different possibilities it could be ?

### output:

Thanks for the query from the history it is quite evident your wife had shad a very tough time but from the diagnosis of malignant Thomas I have to tell you that it means the liver has got metastasis from the Thomas that is what they mean by the dark spots in the liver, and mostly they want to resect it now I would suggest you talk to the oncologist who's in charge of the case for a clear-cut explanation take care.