59-year-old female with metastatic neuroendocrine tumor of liver and jejunum, status post resection. Complains of right upper quadrant pain since surgery of liver on 10/2015. ABDOMEN:LIVER, BILIARY TRACT: Multiple subcentimeter hepatic cysts versus hamartomas. There is a 3 x 3.2 cm well-circumscribed hepatic cyst in hepatic segment 5. In the lateral hepatic dome, there is a 3.2 x 2.5 cm lobulated T2 hyperintense lesion (axial series 10 image 7). This lesion is hyperintense on T1 (axial series 11 image 23), and anteriorly there is a small focus of susceptibility artifact (axial series 11 image 24). Restricted diffusion is also noted. The lack of intravenous contrast limits further evaluation.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: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Suspected osseous hemangioma at L2 (coronal series 8 image 23).OTHER: No significant abnormality noted.
1.Lobulated 3.2 x 2.5 cm lesion of the anterolateral hepatic dome. The hyperintense signal on T2 and diffusion-weighted imaging could represent residual disease. The precontrast increased T1 signal intensity and small focus of adjacent susceptibility artifact could be related to hemorrhage or posttreatment effect. The lack of intravenous contrast markedly limits the evaluation, and correlation with procedural history and prior imaging is suggested.2. Suspected osseous hemangioma of the L2 vertebral body.