Male 37 years old Reason: H/o post transplant Hodgkin Lymphoma in remission. Last contrast neg CT showed a small hypoattenuating area of unclear etiology. Please eval History: None ABDOMEN:LIVER, BILIARY TRACT: There is a well demarcated 2.4 x 1.9 cm mildly T2 hyperintense/mildly T1 hypointense lesion within the posterior right hepatic lobe. Evaluation for enhancement is limited due to delay in arterial phase of imaging. The lesion appears isointense to hepatic parenchyma on more delayed phases of contrast without definite washout. There is a subtle suggestion of a central T2 hyperintense scar (series 6, image 15). This does not have the appearance of focal fat.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Status post right nephrectomy. Atrophic left native kidney. Right fossa transplant graft is partially imaged.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Multiple enhancing lesions within the vertebral bodies and left posterior rib (series 3, image 21) are incompletely evaluated on this study and are nonspecific.
1.2.4 cm lesion within the posterior right hepatic lobe is nonspecific. This may represent malignancy in the context of this post transplant patient with lymphoma. FNH could have a similar appearance however and the patient will be recalled for dynamic postcontrast imaging including hepatobiliary phase for further evaluation.2.Multiple enhancing lesions within the bones are incompletely evaluated on this study and are nonspecific.