86 year old female with abdominal mass and weight loss. ABDOMEN:LIVER, BILIARY TRACT: The reference heterogeneous large mass with some areas of discontinuous nodular enhancement and progressive enhancement on delayed images suggested, measures 17.3 x 15.1 x 20.1 cm (AP X TR X CC), previously 12.9 x 12.1 x 18 cm. Some areas of intralesional T2 hyperintense signal seen. Although evaluation is suboptimal due to the large size of the mass, a hepatic origin is favored. The mass is at least partially exophytic. Mass effect on adjacent intraabdominal structures again noted. Gallstones in gallbladder without evidence of acute cholecystitis. SPLEEN: No significant abnormality noted.PANCREAS: There is stable prominence of the pancreatic duct.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: There is mass effect with associated inferior displacement of the right kidney, appearing similar to the prior study.RETROPERITONEUM, LYMPH NODES: No evidence of lymphadenopathy.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Small fat-containing ventral hernia. Bibasilar atelectasis.
1.Slight interval increase in size of the patient's large hepatic mass with imaging characteristics most consistent with an atypical giant hemangioma.2.Cholelithiasis without evidence of acute cholecystitis.