65-year-old female with metastatic carcinoid tumor off therapy. Evaluate for interval change. ABDOMEN:LIVER, BILIARY TRACT: Status post segment 4/5 liver lesion resection cavity is is stable in size and appearance. The referenced right posterior liver lesion and reference segment 7/8 lesion are also unchanged in size. Reference measurements are provided below.Multiple additional scattered lesions which are bright on diffusion weighted images and many of which show washout on delayed post contrast images are similar in size and distribution compared to the prior exam. No definite new lesions are identified.Status post cholecystectomy.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Fat-containing lesion in the inferior pole of the left kidney is consistent with an angiomyolipoma and remains unchanged. Right renal cysts are also unchanged.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Status post hemicolectomy.BONES, SOFT TISSUES: Diastases of the rectus abdominis muscle.OTHER: No significant abnormality noted.INDEX LESION MEASUREMENTS (Current exam date/time: 11/28/2016 09:00:00)LIVER RESECTION CAVITY: 2.4 x 1.9 cm (Image 23, Series 601); 2.4 x 1.9 cm on prior (11/30/2015) (Image 26, Series 301).RIGHT POSTERIOR LIVER LESION: 0.7 cm (Image 25, Series 601); 0.7 cm on prior (11/30/2015) (Image 28, Series 301).SEGMENT 7/8 LESION: 1.2 x 1.0 cm (Image 192, Series 1005); 1.2 x 1.0 cm on prior (11/30/2015) (Image 32, Series 901).
1.Stable size and appearance of liver resection cavity and liver lesions suspicious for liver metastases.2.No definite new metastasis.