59-year-old man with history of nasopharyngeal cancer status post CRT, with new hypoattenuating lesions on CT. ABDOMEN:LIVER, BILIARY TRACT: The left lobe of the liver, there are two mildly T2 hyperintense lesions, the first measuring 20 x 19 mm (series 5, image 9) and the second measuring 16 x 14 mm (series 5, image 16). These lesions demonstrate diffusion restriction and mild peripheral enhancement. There is an additional, questionable lesion near the hepatic hilum (series 5, image 15). Scattered subcentimeter hepatic cysts are noted.The liver is otherwise normal in signal and morphology. The common bile duct is mildly prominent at 8 mm.SPLEEN: Spleen appears normal.PANCREAS: A 6 mm cystic focus is seen in the pancreatic head (series 5, image 21) and a 6 mm cystic focus is noted in the pancreatic tail (series 5, image 16). These lesions do not enhance.ADRENAL GLANDS: The adrenal glands are normal.KIDNEYS, URETERS: The kidneys are normal and enhance symmetrically.RETROPERITONEUM, LYMPH NODES: No significant lymphadenopathy noted.BOWEL, MESENTERY: The visualized small bowel and colon are normal.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Left lobe hepatic lesions highly suspicious for metastases.2.Subcentimeter probable sidebranch IPMNs.