48-year-old male with metastatic carcinoid ABDOMEN:LIVER, BILIARY TRACT: Numerous T2 hyperintense lesions are noted in the liver, demonstrating interval increase in size since prior exam. Interval increase in size of reference segment seven lesion.Layering cholelithiasis is present. The common bile duct is dilated with tapering to the level of the ampulla without obstructing stone or lesion. There is a stone in the cystic duct (series 4, image 21).SPLEEN: No significant abnormality noted.PANCREAS: Pancreatic divisum anatomy is again noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: T2 hyperintense cysts are noted bilaterally, some of which are too small to further characterize. There is no hydronephrosis or perinephric inflammation.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.INDEX LESION MEASUREMENTS (Current exam date/time: 11/15/2016 10:56:11)SEGMENT 7 LESION: 2.2 x 2.7 cm (Image 15, Series 6); 2.5 x 2.0 cm on prior (8/16/2016) (Image 20, Series 4).
1.Increased size of numerous enhancing liver lesions with reference measurements as detailed above.2.Cholelithiasis with stones in the cystic duct without evidence of inflammation.