74-year-old male with history of bladder cancer. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: A well-circumscribed segment 2/3 lesion measures 20 x 17 mm and demonstrates low T1, high T2, and thick peripheral enhancement with central hypointensity (image 8 of series 6). A similar appearing lesion is present slightly inferiorly in segment 3 measuring 20 x 17 mm (image 10 of series 6). A subcentimeter segment 7 lesion demonstrates high T2 signal and rapid enhancement. Other scattered subcentimeter nonenhancing lesions are present elsewhere in the liver, likely benign.SPLEEN: Small splenule.PANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Status post right nephrectomy. No evidence of recurrence in the resection bed. Prominent left collecting system. The middle 1/3 of the left ureter is not well visualized, however the remaining ureter is within normal limits.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS:PROSTATE, SEMINAL VESICLES: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted
1. No evidence of disease recurrence in the right nephrectomy bed.2. Multiple hepatic lesions are stable dating back to 2011. Some of these lesions have classic imaging characteristics suggestive of hemangioma, while others are indeterminant, but likely benign given long-term stability.