72-year-old woman with history of urothelial cancer, new liver lesion on recent CT. ABDOMEN:LIVER, BILIARY TRACT: In segment 8 of the liver (1101/29) there is a 21 x 18 mm lobular, T2 hyperintense lesion which demonstrates nodular, progressive enhancement through the perfusion sequences. On the delayed phase (1205/254), this lesion is homogenous in appearance and isointense to the blood pool. The liver is otherwise normal in signal and morphology.The gallbladder appears normal. There is 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: Patient is status post left nephrectomy. Subcentimeter right renal cysts noted.RETROPERITONEUM, LYMPH NODES: Multiple enlarged retroperitoneal lymph nodes are noted (1205/169), characterized on recent CT. BOWEL, MESENTERY: Enhancing soft tissue is seen predominantly in the left upper quadrant mesentery. A previously described serosal T2 hyperintense lesion along the greater curvature of the stomach (1101/23) does not have definite imaging characteristics for metastasis. For reference purposes, peritoneal disease in the left lower abdomen (1204/48) measures 31 x 30 mm. Partially visualized small bowel and colon appear normal.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Mildly enlarged cardiophrenic lymph node noted.
1.Liver lesion compatible with hemangioma.2.Retroperitoneal lymphadenopathy and peritoneal carcinomatosis as seen on recent CT.