History of breast cancer with new indeterminate liver lesions on recent CT. Further characterize. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in signal and morphology.Within segment 4A and segment 8 there are nonenhancing simple cysts correlating to the hypodensities seen on CT scan. No abnormal enhancing foci or other evidence of metastases.No intrahepatic or extrahepatic biliary ductal dilatation. Sludge/debris layering dependently in the gallbladder. The hepatic vasculature is patent.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: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Post surgical changes along the anterior chest wall bilaterally. There is trace soft tissue edema in the right reconstructed breast. Along the left chest wall deep to the flap there is a 13.8 x 1.7 cm fluid collection, likely seroma.OTHER: There is questionable partially visualized bilateral pleural nodularity versus subsegmental atelectasis (series 8 image 1). Close attention to this area on follow-up CT scans is recommended. Basilar atelectasis and trace pleural fluid.
1.Benign simple cysts in the liver correlating to the hypodensities seen on recent CT. No evidence of metastatic disease in the upper abdomen.2.There is questionable, partially-visualized, bilateral subsegmental atelectasis versus pleural nodularity in the superiormost aspect of the exam. Close attention to this area on follow-up CT scans is recommended.3.Postoperative changes from bilateral breast reconstructions. There is a simple fluid collection deep to the left-sided flap compatible with a postoperative seroma.