Female; 56 years old. Reason: Stem cell transplant patient with a recent CT showing a dome on her liver. Pt currently has a MSSA bacteremia. ABDOMEN:LIVER, BILIARY TRACT: Paradoxical loss of signal on in-and-out of phase images of the liver diffusely, suggestive of iron deposition.2.7 x 2.4 cm T2 hyperintense, T1 hypointense round segment 4a lesion with restricted diffusion. The degree of T2 hyperintensity is less than expected for simple fluid. The lesion demonstrates equivocal slight internal enhancement. Overall, the lesion is most suspicious for hepatic abscess, though solid lesion from tumor cannot be entirely excluded. Smaller, scattered hepatic cysts are similar to prior exams.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: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Old, healed right anterolateral rib fractures.OTHER: Patchy right lower lobe airspace opacities, similar to prior CT chest. Left axillary lymphadenopathy, partially visualized.
2.7 x 2.4 cm right hepatic lobe lesion most suspicious for hepatic abscess, though solid lesion from tumor cannot be entirely excluded.Findings discussed with Dr. Caponi at 10:35 a.m. on 4/27/15.