Female 64 years old; Reason: To reassess for carcinoid mets in liver History: Carcinoid tumor metastatic ABDOMEN:LIVER, BILIARY TRACT: Unchanged resection cavity in segment 4/5, measuring 2.4 x 1.9 cm, previously 2.4 x 1.8 cm (series 4, image 17). Multiple scattered hyperintense foci on diffusion weighted images, consistent with metastases, appear similar in size and distribution compared to the prior study but increased in number when compared to the prior study dating back to 2009. The reference right posterior liver lesion is unchanged at 7 mm, previously 7 mm (series 4, image 17). Again seen is a segment 5/8 lesion which demonstrates washout on delayed contrast enhanced sequences, measuring 1.2 x 1.0 cm, previously 1.1 x 1.0 cm (55; series 13). Status post cholecystectomy.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Fat-containing lesion in the inferior left kidney likely represents an angiomyolipoma given loss of signal on fat suppressed imaging and is unchanged from the prior study. T2 hyperintense nonenhancing lesions are seen in the right kidney consistent with simple cysts, unchanged.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Postoperative changes of prior hemicolectomy. Otherwise, no significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.No significant interval change when compared to more recent prior imaging in the multiple reference liver lesions suspicious for metastases, see discussion above.2.No interval change in the liver resection cavity.