58-year-old man with history of lymphoma and abnormality in liver enzymes. ABDOMEN:LIVER, BILIARY TRACT: Moderate intrahepatic biliary ductal dilatation is again seen to level of the hepatic hilum. There is diffuse infiltrative masslike T2 signal within the hepatic parenchyma distal to the biliary duct dilatation. The gallbladder wall is thickened.SPLEEN: The splenic capsule appears infiltrated with an ill-defined T2 hyperintense lesion which appears contiguous with the pancreatic tail and retroperitoneum.PANCREAS: The pancreatic duct is mildly dilated. The pancreatic tail is indistinguishable from the aforementioned lesion.ADRENAL GLANDS: The adrenal glands are normal.KIDNEYS, URETERS: There are punctate renal cysts, otherwise the kidneys appear normal.RETROPERITONEUM, LYMPH NODES: The abdominal aorta is aneurysmal, better characterized on the recent CT. Additionally, there is T2 hypo and T1 hyperintense material in the lumen.BOWEL, MESENTERY: The stomach is distended as previously noted in the wall of the greater curvature appears infiltrated by this mass (series 4, image 20). An umbilical hernia containing fat is noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Very limited study due to patient motion and lack of intravenous contrast.2.Infiltrative mass involving the greater curvature of the stomach, spleen, pancreas, and retroperitoneum. This finding is more likely to represent lymphoma than hematoma as previously questioned.3.Additional infiltrative mass within the liver causing biliary duct dilatation.