69-year-old man with history of metastatic thyroid cancer. ABDOMEN:LIVER, BILIARY TRACT: In the hepatic dome (10/11) there is a 17 x 11 mm lesion which is mildly T2 hyperintense with mild peripheral enhancement. This lesion was seen on the prior examination measured 22 x 16 mm. In segment 4 of the liver (10/25) there is an 11 x 11 mm lesion which is also mildly T2 hyperintense with mild peripheral enhancement, previously 16 x 17 mm. Subcentimeter lesion in segment 6 appears stable and is likely a cyst. No new hepatic lesions identified.The gallbladder appears normal and there is no intra or extrahepatic biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: 14 mm T2 hyperintense lesion in the body of the pancreas (10/30) is stable from prior exams and there is no clear communication with the pancreatic duct. The pancreatic duct is nondilated.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: L1 vertebral body (10/34) T2 hyperintense, enhancing lesion extending into the right pedicle is stable in size measuring 27 x 37 mm, previously 28 x 37 mm.OTHER: No significant abnormality noted.
1.Continued decrease in size of two metastatic hepatic lesions.2.Stable size of L1 osseous metastasis.3.Stable cystic lesion in the pancreatic tail, likely a side branch IPMN. 