62-year-old male with acute myeloblastic leukemia, echogenic liver mass seen on prior ultrasound, elevated bilirubin ABDOMEN:LIVER, BILIARY TRACT: Normal liver contour. Multiple ill defined poorly marginated, enhancing, T2 hyperintense lesions are scattered throughout the liver. The largest in segment six measures approximately 2.9 x 1.8 cm (series 901, image 57).The gallbladder is within normal limits. Small ascites.SPLEEN: The spleen is enlarged measuring 15.7 cm in longest dimension. Small ascites.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: No significant abnormality noted.BONES, SOFT TISSUES: T2 hyperintense lesion in the T6 vertebral body is incompletely characterized.OTHER: Small bilateral pleural effusions and adjacent atelectasis.
1.Multiple ill-defined, enhancing lesions scattered throughout the liver as described above. These lesions do not be the criteria of cyst, hemangioma, or primary liver tumor. Differential includes AML involvement of the liver, and less likely infection. Follow-up after chemotherapy treatment is recommended.