History of multiple myeloma with hepatic lesion suspicious for metastatic deposits. Evaluate for interval change. ABDOMEN:LIVER, BILIARY TRACT: There is diffusely decreased hepatic and splenic parenchymal signal which is more pronounced on the in phase images compatible with secondary hemachromatosis. The liver is mildly enlarged measuring 18.4 cm in length.There has been interval decrease in size of a mildly T2 bright enhancing lesion within the right hepatic lobe. This now measures 2.0 x 1.8 centimeters (series 3 image 15), previously 4.8 x 3.2 cm.Numerous gallstones. No intrahepatic or extrahepatic biliary ductal dilatation.SPLEEN: Diffusely decreased parenchymal signal compatible with iron deposition.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Redemonstration of multiple enlarged abdominal lymph nodes. A porta hepatis lymph node measures 2.8 x 2.3 cm, previously 2.6 x 2.0 cm. A left para-aortic lymph node measures 4.2 x 2.5 cm, previously 3.4 x 2.7 cm.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No focal osseous lesion. Broad-based umbilical hernia.OTHER: No significant abnormality noted.
1.Interval decrease in size of enhancing lesion in the right lobe of the liver compatible with a metastatic lesion.2.Stable to minimal increase in intra-abdominal lymphadenopathy.3.Findings compatible with secondary hemachromatosis.