History of recurrent bladder cancer. ABDOMEN:LIVER, BILIARY TRACT: There are at least 3 new lesions in the right hepatic lobe which demonstrate mild T2 hyperintensity and hypoenhancement relative to the remainder of the liver, compatible with hypovascular metastases. For future reference the segment 8 lesion measures 1.1 x 0.9 cm (series 23/81). The liver is otherwise normal in morphology without biliary ductal dilatation. Status post cholecystectomy.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: The kidneys demonstrate normal morphology without hydronephrosis. They enhance promptly and symmetrically and excrete contrast promptly into normal bilateral pelvicalyceal systems and non-dilated ureters. The distal ureters are not well seen likely due to peristalsis without evidence of a filling defect or mass. RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Postsurgical changes of the anterior abdominal wall.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: No significant abnormality noted.BLADDER: Status post cystectomy with right ileal conduit. The visualized ureters demonstrate no mural abnormality or mass lesion.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. At least three new hypovascular liver lesions are suspicious for metastatic disease.2. Status post cystectomy with ileal conduit without complication. 3. Please refer to the separately dictated report of the same day PET/CT scan.