80-year-old female patient with pancreatic adenocarcinoma and liver lesion seen on outside CT. ABDOMEN:LIVER, BILIARY TRACT: There are two T2 hyperintense, arterially enhancing foci in the right lobe of the liver corresponding to the lesions seen on prior CT. A lesion in the dome of the liver measures 7 x 7 mm and contains minimal enhancement on venous phase imaging. The peripheral, mildly wedge shaped focus in segment seven measures 10 x 7 mm and does not enhance on venous or delayed phase imaging. There is mild perihepatic fluid.SPLEEN: There is mild perisplenic fluid.PANCREAS: Corresponding to the prior CT findings, again seen is an ill-defined soft tissue lesion in the body of the pancreas with soft tissue encasement of the celiac axis and the superior mesenteric artery. The superior mesenteric vein was attenuated on the prior CT and is not well seen on the current study, likely representing occlusion. There are at least five peripancreatic fluid and hemorrhage containing collections about the tail of the pancreas. The largest collection anteriorly is mildly increased in size compared to prior CT and measures 8 x 4.4 cm (series 601 image 186), previously 7.6 x 3.6 cm.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.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.
1.Lesion in the dome of the liver most likely represents a hemangioma, while the posterior peripheral focus in the liver most likely represents a perfusional anomaly. No metastatic hepatic lesions are seen.2.Soft tissue mass in the body of the pancreas compatible with known adenocarcinoma. 3.There is peripancreatic soft tissue encasement of the celiac axis and superior mesenteric artery as well as likely interval focal occlusion of the superior mesenteric vein.4.Multiple fluid and hemorrhage containing collections about the distal pancreas, the largest of which has slightly increased in size compared to prior CT.