Male 37 years old with history of Hodgkin's disease and a lesion in the right hepatic lobe. ABDOMEN:LIVER, BILIARY TRACT: The reference lesion in the posterior right hepatic lobe measures 2.7 x 2 .4 cm, previously 2.4 x 1.9 cm. There is associated faint continuous peripheral enhancement which does not persist on the 20 minute delayed Eovist contrast enhanced sequence. No additional mass lesions are identified. SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Status post right nephrectomy. Atrophic left native kidney. Right iliac fossa transplant graft, again seen.RETROPERITONEUM, LYMPH NODES: No evidence of lymphadenopathy.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Multiple foci of bone marrow signal abnormality are identified within the vertebral bodies of the lower thoracic spine and left posterior rib.
1.Persistent lesion within the posterior right hepatic lobe which is nonspecific but does not have the imaging characteristics of a benign FNH and further evaluation with percutaneous biopsy is recommended to exclude the possibility of malignancy, including PTLD.2. Multiple osseous lesions are nonspecific but also suspicious for tumor involvement.