70 years, Male, Reason: H/o IVC sarcoma resected early this year. F/U CT Scan here on yesterday, new soft tissue lesion near IVC and hepatic lesion. Needs MRI for better charcterizattion History: none. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Left hepatic lesion which is hyperintense on T2 with peripheral nodular centripetal progressive enhancement likely represents a hemangioma it is unchanged in size measuring 1 cm (701/26). There is a punctate enhancing focus in segment 8 measuring 6 mm (1002/307) which is bright on T2 and nonspecific. A segment 5 T2 hyperintensity is new from the prior exam but does not demonstrate significant enhancement and may be postsurgical.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: There is been interval resection of IVC sarcoma. There is a small amount of enhancement along the left diaphragmatic crus measuring 1.9 x 1.2 cm (1004/199) with a focus of diffusion restriction in within a portion of the lesion (601/238), likely representing recurrent tumor.Low-density focus seen on prior CT is nonenhancing and is T2 hyperintense, likely a small fluid collection which measures 2.5 x 1.5 cm. BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Postsurgical changes along the anterior abdominal wall.OTHER: No significant abnormality noted.
1.Postsurgical changes of IVC sarcoma resection. A small amount of enhancing tissue along the right diaphragmatic crus likely represents recurrent tumor.2.Hypodense collection identified in prior CT is nonenhancing and likely represents a small amount of postoperative edema.3.Segment 5 T2 hyperintensity does not demonstrate significant enhancement and likely postoperative.