History of metastatic medullary thyroid cancer, compare to previous. ABDOMEN:LIVER, BILIARY TRACT: The liver parenchyma demonstrates decreased signal on out of phase images compatible with hepatic steatosis. There is redemonstration of numerous, scattered ill-defined enhancing foci throughout the liver compatible with hypervascular metastases. In general, the lesions demonstrate high T2 signal, restricted diffusion, and arterial enhancement. For future comparison, an example reference lesion in the inferior most aspect of the right hepatic lobe (series 7, image 146) measures 1.4 x 1.7 cm. The hepatic vasculature appears patent. There is cholelithiasis without evidence of cholecystitis.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Numerous renal simple cysts are present bilaterally. No hydronephrosis.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Ill-defined enhancing lesions throughout the liver suspicious for hypervascular metastases. Reference lesion for future comparison is provided.