Female 51 years old Reason: laparotomy, hysterectomy, oophorectomy 6 months ago for endometriosis with persistent abdominal and pelvic pain. History: chronic abdominal and pelvic pain ABDOMEN:LIVER, BILIARY TRACT: Liver is normal in morphology. At least 3 right hepatic lobe lesions and one left hepatic lobe lesion. The lesion in segment 6 of the liver measures 11 x 11 mm on image 150/series 2201; if imaging features are nonspecific of either a cyst or hemangioma.The lesion in segment 7 of the liver is slightly hypervascular compared to background liver and is located between the right hepatic vein and IVC measuring 4.1 x 3.0 cm. The lesion shows some arterial enhancement but no washout. The lesion in segment 7 located peripherally also has similar features.A segment 3 lesion shows arterial enhancement and no washout measures 2.5 x 1.8 cm on image 203. The lesion is lobular and has a subtle central scar.No intra or extra hepatic biliary ductal dilatation. Hepatic and portal veins are patent.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: No retroperitoneal lymphadenopathy.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: Status post hysterectomy. The previously noted leiomyomata and endometriomata have been resected. No residual lesions in the surgical bed.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Postsurgical changes in the pelvis. There is a small amount of fluid in the left inguinal area.OTHER: Enteric ascites.
1.Status post hysterectomy without residual disease in the pelvis.2.At least 4 hepatic lesions. The lesion in segment 3 of the liver has imaging features of focal nodular hyperplasia. 3. The segment 7 lesions may represent either focal nodular hyperplasia or hepatic adenomas. But their imaging features are considered indeterminate. They can be followed with a 12 month MRI to ensure stability.4.The smaller segment 6 lesion has nonspecific imaging features and can also be followed with a 12 month MRI of the liver