48-year-old male patient with known history of metastatic neuroendocrine tumor with liver metastases. ABDOMEN:LIVER, BILIARY TRACT: There are multiple hepatic lesions throughout the liver demonstrating T2 hyperintensity and arterial enhancement. Some of these have increased in size including a reference segment seven lesion which now measures 2.5 x 2.0 cm, previously 2.1 x 1.5 cm (image 20, series 4). Many of these lesions are more discrete on both T2 and arterial weighted imaging. No definite new lesion is identified. There is layering biliary sludge or small stones within the gallbladder. The hepatic vasculature is patent.Stable mild dilatation of the common bile duct measuring 12 mm in diameter. No definite obstructing lesion is identified.SPLEEN: No significant abnormality noted.PANCREAS: Pancreatic divisum without pancreatic ductal dilatation.ADRENAL GLANDS: There is a right renal cyst. Additional subcentimeter T2 hyperintense foci too small to characterize, likely also represent cysts.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1. Slight interval increase in size of multiple hepatic lesions. No new hepatic lesion is identified.2. Stable mild dilatation of the common bile duct. 