 CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Small mediastinal lymph nodes are unchanged.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: New, almost isodense to minimally hypodense lesions in the liver. An index lesion near the dome measures 2.3 x 2.1 cm on image number 74, series number 3. A second lesion is smaller and best seen image number 94, series number 3. MRI of the liver may be helpful for better detection of these lesions.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS:PROSTATE, SEMINAL VESICLES: Prostate gland is enlarged.BLADDER: Bladder thickening suggestive of cystitis.LYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted
New hepatic lesions suspicious for metastatic disease. MRI of the liver may be helpful for better understanding the extent of these lesions and 40 are follow since they are very subtle on CT.