76-year-old male with known liver lesions. Follow-up for interval change. ABDOMEN:LIVER, BILIARY TRACT: 6.9 x 6.1 cm heterogeneous, enhancing mass with restricted diffusion in the right hepatic lobe (series 1003/54), unchanged in size since prior CT when it measured 6.9 x 6.1 cm and again most compatible with metastasis. 1.4 x 1.6 cm heterogeneous, enhancing mass with restricted diffusion in the right hepatic lobe adjacent to the above-described mass (series 100 3/41), unchanged in size since prior CT when it measured 1.4 x 1.6 cm and again most compatible with metastasis.A smaller T2 hyperintense lesion with peripheral enhancement with filling in on delayed phased images and without restricted diffusion in the right hepatic lobe is most compatible with a hemangioma (series 1003/66), not significantly changed in size since prior study.No biliary ductal dilation. Main portal vein and its branches are patent.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Stable left renal cyst.RETROPERITONEUM, LYMPH NODES: Stable subcentimeter retroperitoneal lymph nodes, which are not pathologically enlarged by size criteria.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Partially visualized cystic lesion near the right L5-S1 neuroforamen, most likely a Tarlov cyst.OTHER: Mild left basilar subsegmental atelectasis, similar to prior study. Trace left pleural effusion.
Stable large right hepatic lesion with adjacent smaller satellite lesion, most likely representing metastases.