Reason: HCC with right thigh and lung mets please assess and provide index lesion measurements for RECIST prior to start of therapy History: As above Again seen is an intramuscular mass in the right biceps femoris at the level of the mid femur. The mass demonstrates low signal on T1-weighted images and high signal on T2-weighted images in addition to heterogeneous enhancement. The underlying osseous structures are intact. The mass measures 5.6 x 5.3 x 10.4 cm, compared to 5.1 x 5.2 x 8.3 cm previously.The remaining soft tissues appear unremarkable and the vessels appear patent. The soft tissues of the left thigh and the left femur are grossly unremarkable as seen on the coronal view.
Mass in the right posterior thigh remains suspicious for a primary soft tissue sarcoma or metastatic carcinoma and appears to have increased in size relative to the prior exam.