History of elevated liver function tests. Evaluation limited by patient motion, body habitus, and lack of intravenous contrast.ABDOMEN:LIVER, BILIARY TRACT: Hepatomegaly. There are a myriad rounded as well as geographic sites of increased T2 signal throughout the liver with interposed reticular or linear relatively decreased T2 signal, uncertain . The largest of the lesions do not appear to show restricted diffusion (no low ADC signal corresponding to the increased DWI signal observed) but difficult to exclude smaller sites of restricted diffusion. The gallbladder is collapsed. No gross biliary ductal dilatation, though MRCP images are heavily degraded by motion.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: There is a nonspecific left adrenal nodule measuring 2.0 x 2.1 cm which is incompletely characterized due to lack of T1 in/out of phase and postcontrast imaging.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Diffuse signal abnormality of the visualized osseous structures compatible with metastases. There is apparent associated narrowing of the spinal canal in the lumbar spine. Scattered body wall edema.OTHER: Scattered mild abdominal pelvic ascites.
1.Limited and truncated examination.2.Hepatomegaly with diffuse hepatic signal abnormality as described above, appearance may be due in part to prior receipt of treatment (correlation with patient's clinical history recommended), difficult to include active metastatic disease. PET and/or contrast-enhanced CT using liver protocol may be considered for additional evaluation.3.Widespread osseous metastatic disease. Associated narrowing of the spinal canal in the lumbar spine which could be further evaluated with dedicated imaging if clinically warranted.4.Incompletely characterized left adrenal nodule.5.Small abdominopelvic ascites.