Male 81 years old. CT demonstrated possible liver hemangiomas. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in size and morphology.The segment 4B lesion demonstrates loss of signal on out of phase imaging consistent focal fat (series 901, image 274). The subcapsular segment 2 lesions are progressively enhancing, T2 hyperintense, T1 hypointense lesions compatible with hemangioma. An enhancing focus within segment 8 has no T2 correlate and is consistent with perfusional abnormality. There is a subcentimeter cyst in segment 4A. Additional hepatic lesions are too small to accurately characterize.No suspicious hepatic lesion.SPLEEN: No significant abnormality noted.PANCREAS: The pancreatic duct is not dilated. The pancreas enhances homogeneously.ADRENAL GLANDS: A small left adrenal nodule demonstrates loss of signal on out of phase imaging indicating benign adrenal adenoma.KIDNEYS, URETERS: There are a few bilateral renal cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: There is eccentric thickening of the gastric fundus measuring 4.0 x 3.3 cm (series 1005, image 284). Moderate hiatal hernia.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.No suspicious hepatic lesion.2.Eccentric thickening of the gastric fundus may represent the sequela of chronic gastric ulceration versus neoplasia. This can be further evaluated with endoscopy as clinically warranted.