History of nasopharyngeal carcinoma with new liver lesion. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in signal and morphology. Within segment 2 there is a focal lesion measuring 2.3 x 1.8 cm which has increased T2 signal as well as prominent diffusion restriction. The lesion is hypoenhancing relative to the background liver.No additional focal lesions. The hepatic vasculature is patent. No intrahepatic or extrahepatic biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral extrarenal pelvises. No hydronephrosis. No focal lesion.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: There is a focal lesion the left aspect of the T12 vertebral body that has increased T2 signal, mildly increased T1 signal, and postcontrast enhancement compatible with an intraosseous hemangioma.OTHER: Partial visualization of multiple sacral cystic structure seen only on the large field-of-view coronal T2 images; possibly representing Tarlov cysts.
1.Focal lesion in segment 2 of the liver as described above most compatible with a hypovascular metastasis.