Male 62 years old with malignant melanoma s/p 6 cycles of immunotherapy. Please evaluate disease status and provide measurements for all lesions. ABDOMEN:LIVER, BILIARY TRACT: There are multiple subcentimeter T2 hyperintense, circumscribed nonenhancing hepatic lesions are consistent with simple cysts. The referenced right hepatic dome lesion is not seen on today's exam. A small area of enhancement within hepatic segment 7 is unchanged and consistent with a portal to hepatic venous shunt. Normal morphology of liver with no suspicious lesion. No biliary ductal dilatation. The hepatic vasculature appears patent.SPLEEN: No significant abnormality noted.PANCREAS: The pancreas enhances homogeneously. The pancreatic duct is not dilated.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: The reference celiac bifurcation lymph node measures 2.6 x 0.8 cm (series 11, image 53), previously 2.6 x 1.0 cm.BOWEL, MESENTERY: Moderate hiatal hernia.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Multiple subcentimeter hepatic cysts and stable hepatic venous shunt. No suspicious liver lesion.2.Stable reference celiac bifurcation lymph node.3.No new sites of disease.