Reason: 81 y/o male with met disease in liver (RCC), evaluate for progression on current chemotherapy regimen. ABDOMEN:LIVER, BILIARY TRACT: Liver is normal in morphology. There are approximately 6 hepatic lesions distributed through both lobes. Reference measurements are provided below. Lesions demonstrate a residual thin rim of enhancement with central necrosis in the majority of the lesions.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Status post right nephrectomy. Complex cystic lesion with dense calcification (correlate with prior CT imaging) in the left upper pole is unchanged. There are several other simple cysts in the left kidney.RETROPERITONEUM, LYMPH NODES: No retroperitoneal lymphadenopathy.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Degenerative changes affect the lumbar spine.OTHER: No significant abnormality noted.INDEX LESION MEASUREMENTS (Current exam date/time: 8/30/2016 13:00:00)SEGMENT 8 LESION: 3.7 x 3.0 cm (Image 28, Series 1200); 4.3 x 3.2 cm on prior (6/7/2016) (Image 208, Series 9).SEGMENT 2 LESION: 2.2 x 2.0 cm (Image 28, Series 1200); 2.7 x 2.9 cm on prior (6/7/2016) (Image 209, Series 9).SEGMENT 6 LESION: 2.7 x 3.2 cm (Image 46, Series 1200); 3.4 x 2.5 cm on prior (6/7/2016) (Image 225, Series 9).
Continued decrease in the size of the reference hepatic metastases.