Peritoneal mesothelioma status post CRS/HIPEC. Evaluate extent of disease. ABDOMEN:LIVER, BILIARY TRACT: Status post cholecystectomy. Few subcentimeter hepatic cysts. No suspicious hepatic lesion is identified.SPLEEN: No significant abnormality noted.PANCREAS: Tiny T2 hyperintense posterior pancreatic head lesion, may represent side branch IPMN.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Multiple bilateral simple renal cysts, some of which contain layering hemorrhage. No hydronephrosis.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: There are several sites of new peritoneal deposits including peripancreatic, along the left hepatic lobe and along the lesser curvature of the stomach. A representative left hepatic lobe peritoneal nodule measures 4.4 x 2.5 cm (series 4, image 16). Nonspecific anterior midline metallic artifact limits evaluation of the ventral abdominal wall.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Multiple sites suspicious for recurrent abdominal peritoneal disease.2.Nonspecific oval nodularity between the rectum and seminal vesicles, stable since 3/18/2015. Attention on subsequent imaging.