52 years, Female, Reason: h/o thryoid ca, liver mets, compare to previous, measurements pls, eval response to tx. History: none. ABDOMEN:LUNG BASES: Cardiomegaly.LIVER, BILIARY TRACT: Innumerable hepatic metastases are overall decreased in size from the prior exam. Reference T2 hyperintense lesion identified on prior exams is not identified on this exam, however there are significant remaining rim enhancing lesions throughout the right hepatic lobe likely representing tumor. For reference, a segment 7 conglomerate measures 7.0 x 5.6 cm (13/151), previously is 9.2 x 7.1 cm. A left hepatic cyst is stable.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: Mildly enlarged periportal node is unchanged measuring 1.9 x 1.5 cm (4/25).BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Mild perihepatic ascites is increased.
1.Decreased hepatic metastases.2.Stable retroperitoneal lymphadenopathy.3.Increased perihepatic ascites.