History of metastatic carcinoid tumor. Interval follow-up exam. ABDOMEN:LIVER, BILIARY TRACT: There is redemonstration of multiple T2 hyperintense enhancing lesions throughout the liver. Accounting for differences in technique, the majority of the lesions appear slightly smaller compared to prior. The reference segment 7 lesion measures 2.1 x 1.5 cm (series 8 image 22), previously 2.1 x 1.9 cm. No new lesions are identified.There is stable prominence of the common bile duct measuring 11 mm, previously 12 mm. No obvious stricture or mass lesion.SPLEEN: No significant abnormality noted.PANCREAS: Pancreatic divisum without pancreatic ductal dilatation.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Right renal cyst and additional bilateral T2 bright foci which are too small to characterize but also likely represent additional cysts.RETROPERITONEUM, 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.Slight interval decrease in size of multiple hepatic metastatic lesions compatible with treatment response. No new lesions are identified.2.Stable mild dilatation of the common bile duct.