Male 58 years old with bladder and prostate cancer. Evaluate liver lesions seen on CT. ABDOMEN:LIVER, BILIARY TRACT: The liver measures 15 cm in length and has a smooth contour. There are several T2 hyperintense, circumscribed, nonenhancing lesion in both lobes of the liver compatible with simple cysts. For example, a segment 4a lesion measures 1.3 x 1.2 cm (series 6, image 10). There is no enhancing liver lesion. Hepatic vasculature is patent.The gallbladder is normally distended and there is no cholelithiasis. No intra or extrahepatic biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: The pancreas enhances homogeneously. The pancreatic duct is not dilated.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Mild to moderate bilateral hydronephrosis is markedly improved compared to the prior CT.RETROPERITONEUM, LYMPH NODES: There is a nonspecific 13 x 6 mm left retroperitoneal, periaortic T2 hyperintense focus which may be lymphatic in origin (series 3, image 34).BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Multiple T2 hyperintense hepatic lesions with no enhancement are favored to represent cysts. There is no enhancing liver lesion.2.Interval improvement in bilateral hydronephrosis.