Male 52 years old Reason: patient with hepatic lesion, known cancer and suspected abscess need to eval for infectious component of lesion that may be amenable to biopsy for cultures History: fever, abdominal pain ABDOMEN:LIVER, BILIARY TRACT: The dominant right hepatic lobe lesion measures 11.2 x 9.5 cm (image 11/series 11) previously, 11.2 x 9.7 cm. The lesion indicates the portal vein including the right and left branches and main portal vein and extends up to the level of the SMV. The lesion also invades the right hepatic and possibly the middle hepatic veins.No discrete fluid collection to suggest an abscess.The gallbladder is mildly distended but there is no pericholecystic fluid or gallbladder wall thickening.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: Periesophageal lymph node measures 1.5 x 1.5 cm (image 12/series 11) previously, 1.6 x 1.3 cm.Cardiophrenic angle lymph node measures 1.7 x 1.0 cm (image 12/series 11) previously, 1.9 x 1.2 cm.There is portacaval lymphadenopathy.BOWEL, MESENTERY: Postsurgical changes with a right lower abdominal ostomy.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.INDEX LESION MEASUREMENTS (Current exam date/time: 11/5/2015 17:00:00)LIVER LESION: 11.2 x 9.5 cm (Image 11, Series 11); 9.7 x 11.2 cm on prior (11/4/2015) (Image 37, Series 3).PERIESOPHAGEAL LN: 1.5 x 1.5 cm (Image 12, Series 11); 1.3 x 1.6 cm on prior (11/4/2015) (Image 32, Series 3).COSTOPHRENIC ANGLE LN: 1.7 x 1.0 cm (Image 12, Series 11); 1.9 x 1.2 cm on prior (11/4/2015) (Image 29, Series 3).
1.Redemonstration of the dominant right hepatic lobe mass which is previously biopsied and shown to represent a hepatic malignancy.2.No MR evidence of abscess.