58-year-old male with history of metastatic rectal carcinoid status postY90 embolization in 2011. Evaluate and compare to previous. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic hepatic morphology. Again noted are scattered rim-enhancing lesions, not significantly changed. There are multiple new subcentimeter scattered lesions demonstrating T2 hyperintensity, diffusion restriction, and arterially enhancement without evidence of washout. Reference new arterially enhancing left hepatic lobe lesion measures 11 x 9 cm (series 901, image 154). No intra or extrahepatic biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Right renal cysts are noted.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.
Interval worsening of arterially enhancing lesions within the liver consistent with metastatic disease from patient's known rectal carcinoid.