39-year-old male with metastatic esophageal adenocarcinoma with increasing liver values, evaluate for biliary ductal dilatation/obstruction ABDOMEN:LIVER, BILIARY TRACT: Innumerable enhancing lesions compatible with metastatic disease in both lobes of the liver, right greater than left.Status post cholecystectomy. No intra or extrahepatic biliary ductal dilation.The right portal vein is attenuated up to the confluence. The left portal vein is widely 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: Anterior mid abdominal mesentery lymph node measuring 2.8 x 2.8 cm (series 9, image 43).A 3.5 x 3.4 cm heterogeneously enhancing paraesophageal lymph node is noted (series 13, image 28).BOWEL, MESENTERY: Moderate hiatal hernia. BONES, SOFT TISSUES: No significant abnormality noted.OTHER: New moderate right and trace left pleural effusions adjacent atelectasis.. Redemonstrated is a 6 mm nodule in the right lung base.
1.Innumerable enhancing liver lesions compatible with metastatic disease and associated metastatic lymphadenopathy. No intrahepatic or extrahepatic biliary ductal dilatation.2.New moderate right and trace left pleural effusions with adjacent atelectasis.