64-year-old woman with history metastatic carcinoid, please restage. ABDOMEN:LIVER, BILIARY TRACT: The resection cavity in segment 4/5 of the liver (series 301, image 26) is unchanged in size measuring 2.4 x 1.8 cm, previously 2.4 x 1.8 cm.Multiple scattered hyperintense foci on diffusion weighted images, consistent with metastasis, appear similar in size and distribution compared to the prior study when accounting for differences in technique but increased in number compared to the prior study dated back to 2009. The reference right posterior liver lesion (series 301, image 28) measures 7 mm, previously 7 mm. The previously described segment 7/8 lesion which demonstrates washout on delayed contrast-enhanced sequences (series 901, image 32) measures 1.0 x 1.2, previously 1.0 x 1.2 cm. 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 left kidney likely represents an angiomyolipoma given loss of signal on fat suppressed imaging and is unchanged from the prior study. T2 hyperintense nonenhancing lesions are seen in the right kidney consistent with simple cysts, unchanged.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Postoperative changes of prior hemicolectomy. Otherwise, no significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.No significant interval change in liver lesions suspicious for metastases, see discussion above.2.No interval change in the liver resection cavity. 