Reason: 68 yo female with pancreatic cancer that abutted the CHA as well as main PV without encasement. There was soft tissue infiltration of the porta hepatitis. Pt rec'd adjuvant Chemo. Restaging CT Scan here 2 htypodense lesion of liver. Needs MRI History: none ABDOMEN:LIVER, BILIARY TRACT: Diffuse loss of signal on out of phase sequence compatible with hepatic steatosis. Linear hypointense signal compatible with pneumobilia as seen on CT. Mild intrahepatic biliary ductal dilatation. Biliary stent in place. Innumerable punctate T2 hyperintense, T1 hypointense, nonenhancing lesions compatible with cysts. Left lobe T2 hyperintense, T1 hypointense lesion with progressive nodular peripheral enhancement compatible with a hemangioma, unchanged.Two lesions with T2 and T1 hyperintense signal and homogeneous enhancement measuring 1.0 x 0.7 cm along the gallbladder (series 1303 image 49) and 1.2 x 0.7 cm in the hepatic dome (series 1303 image 15).SPLEEN: No significant abnormality noted.PANCREAS: Pancreatic head mass has decreased in size, measuring 1.6 x 1.1 cm (series 1/3/2002 image 61), previously 2.1 x 1.5 cm. Pancreatic ductal dilatation up to the level of the pancreatic head again noted. No evidence of SMA or celiac trunk invasion. The mass abuts the SMV by less than 180 degrees. Tumor abuts the common hepatic artery and main portal vein.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral renal cysts.RETROPERITONEUM, LYMPH NODES: Mildly prominent periportal lymph nodes. Normal variant retroaortic course of the left renal vein.BOWEL, MESENTERY: Moderate hiatal hernia. Colonic diverticulosis.BONES, SOFT TISSUES: Dextroscoliosis of the lumbar spine. Multiple Tarlov cysts are noted.OTHER: Right breast implant.
1.Interval decrease in size of patient's known pancreatic head mass.2.Indeterminate small hepatic lesions on recent CT demonstrate benign signal characteristics and could possibly represent flash filling hemangiomas.