Male; 70 years old. Reason: pancreas cancer with a subcentimeter liver lesion please assess and further characterize if this is a hemangioma versus metastasis History: As above ABDOMEN:LIVER, BILIARY TRACT: No focal, suspicious hepatic lesion is seen to correlate with the subcentimeter hypoattenuating focus in the left hepatic lobe seen on preceding CT, and the abnormality on CT may be related to intrahepatic biliary ductal dilation.Faint, focal T2 hyperintensity is seen in the location of the hepatic hilum hypoattenuating focus described on prior CT, which is nonspecific and may be related to focal periportal edema or biliary dilation.Distal bilateral intrahepatic biliary ductal dilation with poor visualization of the central intrahepatic biliary ducts proximal to the common duct (series 3/26), suspicious for tumor infiltration from the large pancreatic mass invading into the porta hepatis (see below).SPLEEN: No significant abnormality noted.PANCREAS: Stable ill-defined pancreatic body and tail mass with invasion into the porta hepatis, were multiple collateral vessels are seen likely due to occlusion of the superior mesenteric vein/portal confluence and partial cavernous transformation, as described on preceding CT.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Stable right superior pole renal cyst.RETROPERITONEUM, LYMPH NODES: Retroperitoneal infiltration of the pancreatic mass along the celiac trunk with attenuation seen of the proximal common hepatic and splenic arteries.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Scattered nonspecific T2 hyperintense vertebral body lesions, correlating with the sclerotic foci seen on prior CT. Nonspecific focus of enhancement in the right paraspinal muscles measuring 10 x 17 mm (series 1001/52).
1. Distal intrahepatic biliary ductal dilation with poor visualization of the central intrahepatic biliary ducts proximal to the common duct (series 3/26), which may be due to pancreatic tumor infiltration.2. Otherwise, no definite focal, suspicious hepatic mass.3. Pancreatic mass and additional findings as stable since prior CT.