Male 70 years old Reason: H/o IVC sarcoma, resected 10/8/14 on f/u MRI done 2/19/15, some enhancing tissue along right diaphragmatic crus. Needs to evaluate for change May, 2015. ABDOMEN:LIVER, BILIARY TRACT: Left hepatic lobe hemangioma is stable in size measuring 1.1 cm (series 4, image 11). Again seen is a small enhancing focus in segment 8 measuring 7 mm (series 1002, image 67). This is unchanged in size but remains nonspecific. The previously described segment 5 T2 hyperintensity is not well seen on today's study.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: Persistent focus of diffusion restriction along the crus of the right hemidiaphragm measures 0.9 x 0.9 cm (series 8, image 69) and is unchanged compared to prior study. There is persistent mildly enhancing soft tissue surrounding this focus of diffusion restriction, along the crus, which has decreased in size compared to prior study. Low-density focus along the right posterolateral margin of the IVC is nonenhancing and likely represents postsurgical fluid. This is unchanged.Subcentimeter nonspecific retrocrural and retroperitoneal lymph nodes. These are unchanged.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Postsurgical changes in the anterior abdominal wall.
1.Postsurgical changes related to IVC sarcoma resection, with mildly enhancing soft tissue along the right diaphragmatic crus with a small central focus of diffusion restriction. This has decreased in size compared to prior study.2.Nonenhancing collection along the right posterolateral margin of the IVC is unchanged and may represent postsurgical edema.3.Nonspecific arterially enhancing focus in segment 8 is unchanged.