History of metastatic renal cancer status post RFA of a liver lesion. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in morphology size and signal intensity.There is a 5 mm focus of arterial enhancement in segment 4A (series 1002/577), new from the priors. Minimal associated restricted diffusion.Post ablation changes of the inferior right hepatic lobe with associated perfusion anomaly. The ablation zone measures approximately 9 mm without definite enhancement.No intra or extrahepatic biliary ductal dilatation. Normally distended gallbladder.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Status post left nephrectomy. No evidence of residual or recurrent tumor in the nephrectomy bed. The right kidney is unremarkable.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Incompletely imaged ventral abdominal wall diastases/hernia.OTHER: No significant abnormality noted.
1.New segment IVa 5 mm arterially-enhancing focus is suspicious for metastatic disease.2.Stable post-ablation changes of the inferior aspect of the right hepatic lobe.3.Stable postsurgical changes from left nephrectomy.