Reason: History of urothelial carcinoma, evaluate for lesion seen near/in liver - is it cancer, or something else? Please use low dose of contrast - pt has GFR in the 30s History: as above ABDOMEN:LIVER, BILIARY TRACT: Left hepatic lobe lesion, corresponding to findings on prior CT, measures 2.3 x 2.3 cm. This lesion is bright on T2-weighted images with peripheral nodular enhancement which fills in, likely a hemangioma. An additional punctate nonenhancing T2 hyperintensity is present in the right hepatic lobe, too small to characterize but likely representing a cystSPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Right ureter is mildly dilated with hyperenhancing wall, likely reflecting inflammation. There is mild atrophy of the right kidneyRETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Left hepatic lobe lesion has imaging features suggestive of a hemangioma.2.Inflammatory changes involving the right ureter with mild atrophy of the right kidney.