68-year-old male with history of metastatic thyroid cancer suspicious liver lesion seen on PET examination. Evaluate. ABDOMEN:LIVER, BILIARY TRACT: Segment 8 and 4b T2 hyperintense, T1 isointense, diffusion restriction, enhancing lesions with surrounding hyperemia with the segment 8 lesion measuring approximately 2.3 x 2.2 cm (series 4, image 13) most consistent with metastatic lesion. Subcentimeter segment 6 T2 hyperintense, T1 hypointense, nonenhancing lesion consistent with a cyst.SPLEEN: No significant abnormality noted.PANCREAS: There is a cystic lesion within the body of the pancreas without evidence of contrast enhancement measuring 1.3 x 0.9 cm (series 7, image 27) compatible with sidebranch IPMN. The pancreatic duct is normal in caliber.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Subcentimeter right renal cyst.RETROPERITONEUM, LYMPH NODES: Again noted is T1 hypointense, T2 hyperintense, enhancing lesion in L1 vertebral body extending into the right pedicle compatible with a metastatic lesion as was also seen on 3/29/2016 MRI lumbar spine; evidence of mild to moderate central spinal canal stenosis.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: pulmonary metastatic left base nodule.
1.Segment 8 and 4B hepatic enhancing lesions consistent with hepatic metastases.2.L1 metastatic lesion.3.Partially visualized pulmonary metastatic left base nodule.4.Pancreatic body cystic lesion most likely a side branch IPMN.