History of liver mass. ABDOMEN:LIVER, BILIARY TRACT: There is a dominant 14.2 x 9.5 cm T2-weighted heterogeneously hyperintense mass infiltrating the right hepatic lobe with numerous adjacent smaller lesions in the right and caudate lobe. The mass extends into a branch of the right hepatic vein to the level of the IVC, compatible with tumor thrombus. The mass demonstrates restricted diffusion and thick peripheral enhancement with central nonenhancement suggesting central necrosis. On delayed imaging there is no significant washout.Cholelithiasis.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral renal cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted. Free pelvic fluid is noted on the sagittal images. Moderate size hiatal hernia.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Neoplastic tumor infiltration of the right hepatic lobe with right hepatic vein tumor thrombus extending to the level of the intrahepatic IVC.