Female 48 years old with metastatic colon cancer to liver, asses left and right lobe involvement. ABDOMEN:LIVER, BILIARY TRACT: Multiple (see key images) T2 hyperintense, diffusion restricting hepatic metastatic lesions with peripheral enhancement are seen in both hepatic lobes. The largest metastasis is in segment 6 and measures 5.2 x 4.8 cm (series 501, image 19).The hepatic vessels are patent. The gallbladder is normally distended without cholelithiasis. There is no biliary ductal dilatation or ascites.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Retroperitoneal and upper abdominal lymphadenopathy, submitted for reference metastatic left paraaortic lymph node measuring 1.6 x 1.6 cm (with suspected intralesional necrosis), image 126 series 803. BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1. Multiple hepatic metastatic lesions as described above with the largest lesion in segment 6.2. Metastatic lymphadenopathy as above.