With history of mesothelioma. Status post radiation please evaluate for disease Using mesothelioma protocol and compared to previous study ABDOMEN:LUNG BASES: Linear scarring at the right lung baseLIVER, BILIARY TRACT: Hepatic cyst is unchanged. Fat deep air, free of the right lobe. There is a linear large hypodense area associated with nodular enhancement measuring 18 x 19 mm bested on image number 34, series number 3. This is more prominent compared to previous CT. MRI of the liver is recommended to differentiate between perfusion artifact versus intrahepatic or perihepatic lesion.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: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted
Linear large hypodense area at the periphery of the right lobe and possible focal enhancing lesion in the right lobe. MRI of the liver is recommended for further characterization of this heterogeneous area of the liver. Differential diagnosis includes perfusion abnormality, intrahepatic lesion versus perihepatic involvement in this patient with mesothelioma.