66-year-old woman with history of pancreatic cancer status post multiple Whipple 8/2014, now with liver mass, pain, and fever. ABDOMEN:LIVER, BILIARY TRACT: Multiple, mildly T2 hyperintense lesions with thick peripheral enhancement are seen throughout the liver. The largest of these in the hepatic hilum and measures 83 x 79 mm (series 16, image 74). Additional, smaller lesions are seen including a segment 8 lesion (series 16, image 52) which measures 18 x 18 mm and a subcentimeter lesion in the peripheral segment 8 (series 16, image 64).The left portal vein appears to be obliterated by the adjacent tumor (series 1503, image 60).There is moderate to severe biliary duct dilatation of the right and left hepatic biliary system. The main hepatic duct is not visualized.SPLEEN: Spleen is normal.PANCREAS: The patient is status post Whipple procedure.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Left renal cysts are noted, the kidneys are otherwise normal.RETROPERITONEUM, LYMPH NODES: No significant lymphadenopathy noted.BOWEL, MESENTERY: Patient status post duodenectomy/Whipple. The visualized colon is normal.BONES, SOFT TISSUES: Postoperative findings are seen in the ventral abdominal soft tissues.OTHER: There are small bilateral pleural effusions.
1.Multiple hepatic lesions compatible with metastases from patient's known pancreatic cancer.2.Intrahepatic biliary dilatation secondary to metastatic lesions