Female 53 years old Reason: hx lung CA, recent PET suggest MRI of liver ABDOMEN:LUNG BASES: Moderate-sized right pleural effusion. Postsurgical changes in the right chest wall.LIVER, BILIARY TRACT: There is a lobulated, markedly T2 hyperintense/T1 hypointense lesion within the posterior right hepatic lobe. This measures 7.3 x 6.9 cm (7, image 15). Post contrast, this demonstrates incomplete peripheral nodular enhancement with progressive fill-in. A superior lesion, contiguous with the above described lesion measures 6.8 x 5.7 cm (series 7, image 9) and also demonstrates incomplete peripheral nodular enhancement. There is some fill-in on delayed images. These lesions are most consistent with hemangiomas.A third T2 hyperintense lesion within segment 4a measures 1.2 x 0.9 cm (series 6, image 8). This is indeterminate however it is unchanged in size compared to prior studies.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.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: No significant abnormality noted.
1. Two contiguous hepatic lesions as detailed above, with imaging appearance suggestive of hemangiomas. 2. A third lesion within segment 4 A. is indeterminate however it is uncharged in size compared to prior studies.3. Postsurgical changes within the right chest wall. 4. Large right pleural effusion.