72-year-old male status post right hemicolectomy for colon cancer and prostate cancer presenting abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Hepatic cysts near the dome are unchanged. New, ill-defined, hypodense lesion in segment 8 measuring 9 by 8mm image number 34, series number 4. This lesion is suspicious for a small metastatic disease, however, it's too small to definitely characterize. Alternatively, this represent a Opitz of focal fatty infiltration. MRI of the liver may be helpful for further information. Previous described possible hemangioma in the left lobe is unchanged.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Mild wall thickening and fat stranding around the ileocolonic anastomosis.BONES, SOFT TISSUES: Sclerotic lesions involving the thoracic and lumber spine consistent with metastatic disease, stable.OTHER: No significant abnormality notedPELVIS:PROSTATE, SEMINAL VESICLES: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No significant abnormality notedOTHER: Thrombose of the right internal iliac vein. Minimal fat stranding in the pelvis of unknown significance.
Right internal iliac vein thrombosis.Sclerotic bone metastases are stable.New subcentimeter lesion in the liver. This lesion is too small to characterize and may represent a small metastases versus focal fatty infiltration. MRI of the liver may provide further characterization.Mild wall thickening and fat stranding around the ileocolonic anastomosis without evidence of any abscess.These findings were discussed with Dr.Kalscheur at the time of dictation.