67-year-old male with newly diagnosed ascending colon cancer. Multiple liver lesions seen on CT. History of CLL. Abdominal pain. ABDOMEN:LIVER, BILIARY TRACT: Multiple T2 hyperintense lesions in the liver. The largest of these, in segment 8, measures 2.3 x 1.7 cm (series 4, image 12), with peripheral nodular discontinuous enhancement that increases centrally with delayed imaging. In retrospect, this lesion was faintly visible though incompletely evaluated on the noncontrast CT from 10/9/2014. Additional subcentimeter foci scattered throughout the liver demonstrate minimal to no discernible enhancement, compatible with cysts or hemangiomas. Biliary sludge versus small stones.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral renal cysts. No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Partially imaged pelvic lymphadenopathy, seen only on large field of view coronal images. Please refer to the prior CT of the abdomen and pelvis for further characterization.BOWEL, MESENTERY: 4 cm ascending colonic mass is again seen (series 4, image 34), though incompletely imaged and incompletely evaluated on this exam. Please refer to the prior CT of the abdomen and pelvis for further characterization.BONES, SOFT TISSUES: Multiple vertebral body hemangiomas noted. Otherwise, no significant abnormality noted.
2.2 cm lesion in hepatic segment 8 compatible with a hemangioma, as suggested on the prior CT. Additional smaller liver cysts or hemangiomas noted. No hepatic masses suspicious for metastatic disease.