Metastatic bladder cancer. Evaluate for liver metastases. ABDOMEN:LIVER, BILIARY TRACT: 3 right hepatic lobe segment VIII lesions are again seen, demonstrating central hypoenhancement and peripheral rim enhancement, compatible with hypovascular liver metastases. The most inferior reference lesion measures 1.1 x 1.0 cm (series 13, image 61), unchanged from previously 1.0 x 0.9 cm.Stable punctate subcentimeter T2 hyperintense segment 6 lesion most compatible with simple cyst.SPLEEN: No significant abnormality noted.PANCREAS: No focal pancreatic lesion.ADRENAL GLANDS: No adrenal nodularity or thickening.KIDNEYS, URETERS: Kidneys enhance symmetrically without focal lesion.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Right lower quadrant ostomy again noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Three segment VIII liver metastases are not significantly changed from 8/25/2015 exam.