Reason: neuroendocrine tumor with liver mets History: neuroendocrine tumor with liver mets ABDOMEN:LIVER, BILIARY TRACT: Innumerable hepatic metastases have increased in size and number. A segment 4A lesion measures 3.6 x 2.6 cm (12/97), previously 2.4 x 2.7 cm. SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Enlarged portacaval node measuring 1.5 x 1.2 cm (12/60).BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: 1 cm right lower lobe nodule.
1.Progression of innumerable hepatic metastases.2.New right lower lobe lung nodule. This can be better evaluated on CT.3.Enlarged portacaval lymph nodes.