Obstructing right colon cancer mass status post ileocolic resection. Indeterminate liver lesions. Pathology states invasive colonic adenocarcinoma. ABDOMEN:LIVER, BILIARY TRACT: Normal liver morphology. Several mildly T2-weighted hyperintense and diffusion restricting lesions which demonstrate rim and mild internal enhancement. The right hepatic lobe segment 7 lesion measures 1.3 x 1.1 cm (series 901/274). Segment 8 lesion measures 1.2 x 1.0 cm (series 701/259). These are most suspicious for metastatic disease. Punctate lesion in the segment IVb (series 901/333) has subtle rim-enhancement, suspicious for metastatic disease. There are several additional punctate lesions in the both the right and left hepatic lobe which demonstrates and restricted diffusion (series 806, image 248, 208, 200, and 168). They cannot be characterized on post-contrast imaging due to their small size. These are not clearly associated with cyst-like T2-weighted hyperintensity, therefore metastatic disease cannot be excluded.T2-weighted very hyperintense foci in the left hepatic lobe are noted (series 701/28) without restricted diffusion or abnormal enhancement, likely representing hepatic cysts.No intra or extrahepatic biliary ductal dilatation. Cholelithiasis within a normally distended gallbladder without evidence of gallbladder inflammation. Debris/gallstone at level of gallbladder neck/cystic duct.SPLEEN: The spleen is normal in size and morphology without a focal abnormality.PANCREAS: Moderately atrophic pancreas without pancreatic ductal dilatation or focal lesion.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Symmetric perinephric fat stranding/fluid. No hydroureteronephrosis or suspicious lesion.RETROPERITONEUM, LYMPH NODES: No enlarged retroperitoneal lymphadenopathy.BOWEL, MESENTERY: There is moderate small bowel dilatation up to 4.2 cm. The right lower quadrant is not included in the field-of-view. Fluid-filled colon is not significantly distended.BONES, SOFT TISSUES: Trace bilateral pleural effusions with adjacent compressive atelectasis.OTHER: No significant abnormality noted.
1.Right hepatic lobe lesions, the largest of which are most suspicious for metastatic disease. Suspected segment IVa subcentimeter metastatic lesion. Several additional punctate lesions in both the right and left hepatic lobe demonstrate restricted diffusion without characteristics of cysts or hemangioma, therefore additional sites of metastatic disease cannot be excluded. 2. Cholelithiasis.3. Small bowel dilatation may represent post-operative ileus; please correlate for obstruction.