Abnormal LFTs. History of bladder cancer. ABDOMEN:LIVER, BILIARY TRACT: Numerous intermediate T2-weighted signal intensity lesions in the liver incompletely characterized without contrast. The signal intensity is suspicious for metastatic disease. For future reference a right hepatic dome lesion measures 4.3 x 3.4 cm (series 501/46).The common bile duct measures 1.5 cm to the level of the pancreatic head. No filling defect or discrete mass lesion is seen on this limited nonenhanced study. The gallbladder is dilated without specific evidence of inflammation.SPLEEN: Normal size without a focal lesion.PANCREAS: The main pancreatic duct is dilated up to 6 mm to the level of the pancreatic head. Mild pancreatic parenchymal atrophy.ADRENAL GLANDS: Right adrenal gland nodule measuring 2.7 x 1.4 cm, increased from prior CT.KIDNEYS, URETERS: Postsurgical changes from right nephroureterectomy. Simple appearing left renal hyperintensities are incompletely characterized, likely cysts.RETROPERITONEUM, LYMPH NODES: No enlarged retroperitoneal lymphadenopathy.BOWEL, MESENTERY: Several vertebral bodies demonstrate heterogeneous marrow signal intensity which is incompletely characterized. Correlate with nuclear medicine bone scan findings.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Small left pleural effusion.
1.Numerous hepatic masses are increased in size and number, compatible with metastatic disease.2.Increasing right adrenal nodule, suspicious for metastatic disease.3.Common bile and pancreatic duct dilatation to level of the pancreatic head. No discrete mass lesion is seen on this limited nonenhanced study. Correlation with ERCP/EUS is recommended as an underlying lesion and/or stricture is suspected.