86-year-old female patient with history of metastatic medullary thyroid cancer. Compare to prior examination. ABDOMEN:LIVER, BILIARY TRACT: Several enhancing liver lesions are again noted, stable compared to prior examination. Index right hepatic lobe lesion measures 2.4 x 2.1 cm (series 10 image 40), unchanged. The common hepatic duct is dilated up to 1.2 cm in diameter, unchanged. No evidence of cholelithiasis.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Left upper pole simple cyst is unchanged.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Incidentally noted on a single series is a lobulated, predominantly low T2 signal mass that is incompletely imaged and appears to be separate from the uterus.
1.Multiple enhancing hepatic lesions compatible with metastatic disease are unchanged compared to prior examination.2.Incidentally noted on a single series is a lobulated, predominantly low T2 signal mass that is incompletely imaged and appears to be separate from the uterus. Dedicated pelvic ultrasound can be obtained as clinically indicated.