71 years, Female, Reason: liver mets? History: ovarian mass along with liver abnormalities on CT. ABDOMEN:LUNG BASES: Small right and trace left pleural effusions are increased from the prior exam.LIVER, BILIARY TRACT: There is a 4.1 x 3.3 cm ill-defined lesion involving the gallbladder fundus and adjacent right hepatic lobe. There is soft tissue components along the gallbladder fundus with adjacent areas of peripheral enhancement within the liver parenchyma. The majority of the hepatic component is hypointense on T1-weighted images with heterogeneous T2 signal. No additional hepatic lesions are present. No intrahepatic or extra hepatic biliary ductal dilatation. Large stone within the gallbladder.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Lesion within the hepatic hilum with peripheral enhancement likely represents an enlarged portacaval lymph node and measures 2.9 x 2.4 cm (1005/285). Additional large para-aortic nodes.BOWEL, MESENTERY: No evidence of obstruction. No peritoneal implants are identified.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Large pelvic mass is partially visualized and coronal sequences. Small amount of ascites. Fat containing peri-umbilical hernia.
1.Lesion involving the gallbladder fundus and adjacent liver. Neoplasm is suspected, although this would be an unusual appearance for a metastatic lesion. The appearance is more consistent with a primary gallbladder adenocarcinoma with liver invasion. Biopsy may be considered.2.Retroperitoneal lymphadenopathy.3.Large pelvic mass is partially visualized.4.Increased small right and trace left pleural effusion.