64-year-old female with history of recurrent ovarian high-grade serous carcinoma status post debulking surgery in 2006. Evaluate right upper quadrant cystic lesion's relationship to liver, porta hepatis, and bowel. ABDOMEN:LIVER, BILIARY TRACT: 10 mm intermediate to high signal T2 lesion in segment 4a (series 601/32) with a continuous thin rim of peripheral arterial enhancement, appearing new since prior CT on 12/30/2014 and suspicious for metastasis. An additional 13 mm intermediate to high signal T2, enhancing lesion is seen in the inferior right hepatic lobe (series 601/21), also suspicious for metastasis.4 mm high signal T2 lesion in segment 2 (series 601/37), stable since prior exams and most likely a cyst . No biliary ductal dilation. Portal and hepatic veins are patent.SPLEEN: Multiple subcentimeter T2 hyperintense lesions are likely due to benign cysts.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Right renal cyst.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Right upper quadrant cystic lesion without significant enhancement measures up to 6.2 x 6 x 8.2 cm (AP by transverse by craniocaudal, series 1204/29 and 701/14). The lesion is inseparable from a small bowel loop in the right upper quadrant, exerts mild mass effect with scalloping of the inferior right hepatic lobe, and abuts the gallbladder fundus. The lesion is stable in size since prior CT on 6/5/2015. Heterogeneous low T2 signal debris is noted within the lesion. This lesion is nonspecific and may be a metastatic implant, particularly given the provided clinical history and that it is reportedly a new finding since prior CT at outside institution in August 2014, and the suspicious hepatic lesions detailed above. BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1. Two small hepatic lesions suspicious for metastases, as detailed above.2. Right upper quadrant cystic lesion is stable in size since prior CT on 6/5/2015, as detailed above. The lesion is nonspecific, and may be a metastatic implant, also as detailed above.