New liver lesion and abnormal LFTs. ABDOMEN:LIVER, BILIARY TRACT: The liver is increased in size from the prior study, now measuring 20 cm in craniocaudal dimension. There are innumerable T1 hyperintense small lesions in both lobes of the liver with associated T2 hypointensity, and mild restricted diffusion. Similar lesions affect the spleen. No biliary ductal dilatation or vascular abnormality.Normally distended gallbladder with a nonspecific gallbladder wall thickening. No cholelithiasis.SPLEEN: Numerous T1 hyperintense small lesions in the spleen.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Interval enlargement of a right cardiophrenic lymph node, now measuring 1.3 x 1.7 cm. Enlarging periportal lymphadenopathy. BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Numerous well-defined T1 weighted intrinsic hyperintense lesions affecting the liver and spleen. Given the history of melanoma these are highly suspicious for diffuse metastatic lesions.Suspected lymph node metastases with short interval increase in size of cardiophrenic and periportal lymphadenopathy.