Multiple hepatic lesions. History of hepatic steatosis. ABDOMEN:LIVER, BILIARY TRACT: Diffuse decrease in signal intensity on the out of phase images is consistent with hepatic steatosis/fatty infiltration. The liver is enlarged measuring 23 cm in craniocaudal dimension.Demonstrated again are multiple hepatic lesions which are not significantly changed in size or number. The reference largest lesion measures 4.7 x 3.5 cm (series 11 image 15), compared to 4.5 x 3.7 cm previously.The lesions are relatively hyperintense on the T1-weighted fat-suppressed precontrast imaging sequences likely secondary to the background fatty liver and relatively homogeneously hypointense on the nonfat suppressed T2 weighted images. Again, the larger lesions demonstrate some heterogeneity on the fat-suppressed T2-weighted images and peripheral restricted diffusion. On the multi hour delayed images the lesions are iso to slightly hyperintense to the background liver parenchyma.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Right renal inferior pole simple cyst.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Stable size and number of the multiple hepatic lesions. Although a few of the lesions demonstrate somewhat atypical characteristics these likely represent multiple focal nodular hyperplasias.2.Hepatomegaly and steatosis.