Male 78 years old with neuroendocrine tumor of the head of the pancreas. Evaluate for liver metastases. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in morphology. There are at least 4 mildly T2 hyperintense lesions the largest in segment 6 of the liver measuring 2.3 x 1.8 cm. Previously the lesion measured 1.2 x 1.1 cm. The other lesions have also grown in size.SPLEEN: No significant abnormality noted.PANCREAS: There is a large T2 hyperintense mass involving the pancreatic body. The mass measures 6.2 x 6.6 cm previously, 6.1 x 6.1 cm. The tail is atrophic. Pancreatic duct in the head of the pancreas is normal. Common bile duct is normal in caliber. There are subtle T2 hyperintense foci within the pancreatic head which may represent small branch type IPMN's.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No hydronephrosis.RETROPERITONEUM, LYMPH NODES: No retroperitoneal lymphadenopathy.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Left pleural effusion and ascites.INDEX LESION MEASUREMENTS (Current exam date/time: 9/8/2016 14:43:00)PANCREATIC BODY MASS: 6.2 x 6.6 cm (Image 34, Series 16); 6.1 x 6.1 cm on prior (7/29/2016) (Image 65, Series 19).SEGMENT 6 LESION: 2.3 x 1.8 cm (Image 17, Series 11); 1.2 x 1.1 cm on prior (7/29/2016) (Image 73, Series 19).
1.Findings of a 6.6 cm pancreatic body mass which is slightly increased in size from prior.2.Increase in the size of the liver lesions.3.Given the lack of intravenous contrast the liver lesions or pancreatic lesion cannot be fully characterized however, given the pancreatic mass shows size increase and increase in the size of the liver lesions these are most compatible with metastatic disease.