68-year-old female with history of medullary thyroid cancer with metastatic disease to the liver. Patient is on clinical trial. Follow-up examination to evaluate liver disease. ABDOMEN:LIVER, BILIARY TRACT: Again noted are multiple hepatic metastatic lesions. Reference measurements are as follows:Right posterior segment peripheral lesion measures 6 mm (series 5, image 12), previously measures 6 mm.Anterior segment lesion measures 9 mm (series 5, image 12), previously measuring 10 mm.More inferior posterior segment lesion measures 8 mm (series 5, image 17), previously remeasured at 8 mm.Inferior posterior segment peripheral lesion measures 12 mm (series 5, image 21), previously measuring 12 mm.No definite new lesions are identified.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Superior pole simple cyst.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Enhancing L2 vertebral body osseous lesion is unchanged.OTHER: No significant abnormality noted.
Stable metastatic disease to the liver and lumbar spine.