Reason: 47 yo male with h/o colo-rectal cancer, initially resected 12/2003, Recurrent disease in small bowel 9/2015. Found to have liver metastasis and abdominal wall metastasis 4/2016. Has completed chemotherapy. Needs MRI to evaluate extent of disease. ABDOMEN:LIVER, BILIARY TRACT: The liver demonstrates normal morphology. There is a T2 hyperintense lesion within hepatic segment 7 which demonstrates restricted diffusion and peripheral enhancement which is compatible with a metastatic lesion with reference measurements below. There is a 1 mm T2 hyperintense cyst within hepatic segment 6, favor benign. No additional focal hepatic lesions are identified.The hepatic vasculature appears patent.Cholelithiasis. No biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Moderate right hydroureteronephrosis appearing similar to recent CT scan. Subcentimeter renal cysts.RETROPERITONEUM, LYMPH NODES: Few nonspecific mildly prominent retroperitoneal lymph nodes.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Postsurgical changes to the anterior abdominal wall. On the outside 8/12/2016 CT, there is an area of nodularity along the deep margin of the inferior portion of the left rectus muscle which could correspond to the reported abdominal wall metastasis in the clinical history. Today's MRI examination of the liver does not include this area within the field-of-view.OTHER: No significant abnormality noted.INDEX LESION MEASUREMENTS (Current exam date/time: 9/1/2016 11:00:00)SEGMENT 7 HEPATIC LESION: 1.4 x 1.1 cm (Image 405, Series 14).
1.Hepatic segment 7 lesion compatible with metastasis. No other suspicious hepatic lesions are identified.2.Moderate right hydroureteronephrosis appearing similar to recent CT scan. 