Abnormal liver function ABDOMEN:LIVER, BILIARY TRACT: Nodular liver contour with innumerable lesions, overall appearance compatible with combination of numerous liver metastases and sequela of treatment/fibrosis. Mild narrowing of intrahepatic IVC. Visualized portal veins patent. No biliary duct dilatation.SPLEEN: No significant abnormality noted.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: Relative thickening of hepatic flexure of colon suggests underlying portal colopathy. Thickened bowel, may be reactive in setting of ascites.BONES, SOFT TISSUES: Osseous lesions better delineated on prior CT imaging and dedicated MRI of spine.OTHER: Small ascites. Trace pleural effusions. Anasarca, primarily on right side. Ventral postsurgical sequela. Right-sided drainage catheter seen.
No biliary duct dilatation. Markedly nodular and heterogeneous liver, reflecting a combination of treatment-related pseudocirrhosis and metastatic disease. Continued follow-up CT imaging with comparison to prior CT exams to evaluate for interval increase in size of lesions recommended to exclude worsening/active metastatic lesions.Trace pleural effusions and small ascites.