Reason: 43 yo male with history of multiple hepatic hemangiomas as well as right nephrectomy for renal cell carcinoma. ABDOMEN:LIVER, BILIARY TRACT: There is a diffuse decrease in hepatic parenchymal signal intensity on out of phase images consistent with fatty infiltration. There is a lobulated, well-circumscribed lesion within the right hepatic lobe (series 7, image 23) measuring 10.5 x 10.5 cm, previously 10.4 x 10.7 cm. The lesion demonstrates mild T1 hypointensity peripherally with more pronounced T1 hypointensity centrally as well as mild T2 hyperintensity peripherally and more pronounced T2 hyperintensity centrally. The lesion demonstrates discontinuous, peripheral, nodular enhancement on arterial phase images with some centripetal fill-in on delayed images compatible with a benign giant hemangioma. A well-circumscribed lesion within segment 2 of the liver (series 7, image 10) measures 2.8 x 2.9 cm, previously 2.5 x 2.9 cm. The lesion is homogeneously T2 hyperintense and T1 hypointense. The lesion demonstrates discontinuous peripheral nodular enhancement with progressive filling in on more delayed images and is compatible with a benign hemangioma. An additional lesion, also in segment 2 (series 7, image 8) measures 1.9 x 2.4 cm, previously 1.6 x 2.2 cm. The lesion is mildly T2 hyperintense and T1 hypointense, previously demonstrated peripheral nodular enhancement with fill-in on delayed images, and is compatible with a benign hemangioma.There is a an additional subcentimeter T2 hyperintense structure in the right hepatic dome (series 7, image 10) which appears unchanged compared to the 2015 examination but is too small to characterize.Gallbladder is surgically absent.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Status post right nephrectomy. No evidence of residual or recurrent disease in the surgical bed.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Benign hepatic hemangiomas stable to minimally increased in size. Additional subcentimeter T2 hyperintense lesion within right hepatic dome unchanged compared to 2015 but too small to characterize. No new hepatic lesions.2.No evidence of local recurrence of renal cell carcinoma.3.Hepatic steatosis.