History of metastatic adenocarcinoma, signet cell type.Omental resection 11/25/2015 showed metastatic signet renal cell carcinoma. ABDOMEN:LIVER, BILIARY TRACT: Widening of the hepatic fissures and prominent caudate lobe compatible with chronic liver disease. Several subcentimeter hepatic cysts. No suspicious hepatic mass. No biliary ductal dilatation. The vessels are patent.SPLEEN: The spleen is normal in size.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: Postsurgical changes from transverse colectomy. Right lower quadrant end colostomy. Left lower quadrant mucocutaneous fistula. The sigmoid colon demonstrates wall thickening and hyperenhancement with mild adjacent fat stranding.BONES, SOFT TISSUES: Postsurgical changes of anterior abdominal wall and omentum. No discrete soft tissue mass.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: Status post hysterectomy.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Postsurgical changes from transverse colectomy. Right lower quadrant end colostomy. Left lower quadrant mucocutaneous fistula. The sigmoid colon demonstrates wall thickening and hyperenhancement with mild adjacent fat stranding.BONES, SOFT TISSUES: Mild presacral fluid.OTHER: No significant abnormality noted.
1. Sigmoid colon wall thickening and hyperenhancement with mild adjacent fat stranding, worrisome for a colitis of uncertain etiology. No discrete measurable sites of disease.2. Mild morphologic changes of chronic liver disease without a suspicious liver lesion.