68-year-old male patient with history of metastatic thyroid cancer and CRT. ABDOMEN:LIVER, BILIARY TRACT: A segment 8 lesion demonstrating T1 hypointensity, T2 hyperintensity, diffusion restriction, and enhancement with surrounding hyperemia is decreased in size now measuring approximately 2.2 x 1.6 cm (image 90, series 5), previously 2.3 x 2.2 cm. An additional segment IVb lesion is also slightly smaller in size. A subcentimeter enhancing lesion in segment 6 is also suspicious for a metastatic lesion. There is a subcentimeter cyst within segment 6. No new hepatic lesion is identified.SPLEEN: No significant abnormality noted.PANCREAS: A cystic lesion within the body of the pancreas without evidence of contrast enhancement is unchanged in size measuring approximately 1.2 x 0.9 cm (image 62, series 12) and is compatible with a sidebranch IPMN.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: A metastatic lesion within the L1 vertebral body extending to the right pedicle is again noted.OTHER: No significant abnormality noted.
1.Decrease in size of two metastatic hepatic lesions. 2.L1 osseous metastatic disease.