Metastatic colon cancer to liver, being considered for resection ABDOMEN:LIVER, BILIARY TRACT: Multiple poorly enhancing hepatic lesions involving segments 4A, 6, and 7 measuring up to 1.5 x 1.3 cm in segment 7 (series 9, image 24), previously 2.1 x 2.0 cm. One of these lesions is located more centrally posterior to the right hepatic vein abutting the anterior margin of the right portal vein (series 9, image 36). These lesions have decreased in size compared to the prior exam. The hepatic and portal veins are patent. No biliary ductal dilation.SPLEEN: No significant abnormality noted.PANCREAS: Although this study is not protocoled for the evaluation of the pancreatic duct, there is suggestion of a pancreatic ductal anomaly on the thick slice coronal T2 sequence.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Nonspecific low signal focus in the left kidney.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Right lower quadrant ostomy.BONES, SOFT TISSUES: No significant abnormality noted.
1.Multiple hepatic metastases as described above with slight interval decrease in size compared to the prior exam.2.No new lesions.