61-year-old female with metastatic colon cancer to liver. ABDOMEN:LIVER, BILIARY TRACT: Status post left hepatectomy. Multiple T2 hyperintense cystic lesions scattered toward the liver are not significantly changed when compared to the prior exam. There is no new focal lesion. There is trace perihepatic fluid. There is mild restricted diffusion along the liver capsule and abdominal wall peritoneum with corresponding postcontrast enhancement without definite nodule or mass.SPLEEN: There is linear focus of restricted diffusion along the peritoneum adjacent to the spleen with corresponding postcontrast enhancement.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: High T2 signal, enhancing lesion within the L1 vertebral body is unchanged.
1.Linear foci of restricted diffusion along the liver capsule and along the abdominal wall peritoneum, particularly adjacent to the spleen, with corresponding postcontrast enhancement is suspicious for carcinomatosis.2.Status post left lobectomy and unchanged T2 hyperintense cysts. No new liver lesions. 