55-year-old female with stage IV uveal melanoma status post hepatic embolization/radiofrequency ablation ABDOMEN:LIVER, BILIARY TRACT: Numerous T2 hyperintense liver lesions are noted scattered throughout the left and right lobe of the liver. Segment 5 lesion measuring 2.3 x 1.3 cm is not significantly changed and compatible with a hemangioma demonstrating peripheral discontinuous nodular progressive enhancement (series 1303, image 192). Multiple additional irregularly enhancing lesions scattered throughout the liver compatible with metastases are increased in size since the prior exam. Interval increase in caudate lesion compatible with recurrence within or near the prior ablation cavity. There is a segment 8 lesion measuring 13 x 12 mm, previously 8 x 7 mm (series 1305, image 300).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: Prominent porta hepatis lymph nodes measuring up to 12 mm (series 1201, image 28).BOWEL, MESENTERY: Postsurgical sequelae involving abdominal wall.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Interval increase in size of liver lesions as detailed above. 2.Recurrence of disease within prior caudate ablation cavity.