MR LIVER W/WO CON
Clinical Statement: Colorectal liver metastases
Technique: Axial in- and out-of-phase T1 - weighted; axial fat-saturated T2 - weighted; coronal single-shot fast spin-echo T2-weighted; and dynamic Gadolinium-enhanced axial T1-weighted images were acquired.
Comparison: March 23, 2012
Findings:
HEPATOBILIARY: Diffuse hepatic steatosis. Status post multiple wedge resections. Interval ablation of segment 7 lesion with new ablation defect measuring 3.2 x 2.9 cm. New liver lesions consistent with metastases in segment 6 anteriorly measuring 1.3 x 1.2 cm, and in segment 4A measuring 0.8 x 0.5 cm. Stable hemangiomas in segment 7 and segment 2. No biliary dilatation.
SPLEEN, PANCREAS, ADRENAL GLANDS: Unremarkable
KIDNEYS: Unremarkable aside from bilateral renal cysts
ABDOMINOPELIVIC NODES: No adenopathy
BONES/SOFT TISSUES: No suspicious osseous lesion.
OTHER: none
IMPRESSION:
1. Since March 23, 2012, interval ablation of segment 7 metastasis. New liver lesions in segments 4A and 6 consistent with metastases. Diffuse hepatic steatosis (means, fatty liver).
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LAB RESULTS:
CEA: 10.7 [0 - 5.0 = normal]
Platelets: 236 [160-400]
RBC: 4.89 [4.0 - 5.2]
WBC: 8.3 [4 - 11]
all blood work is in normal range
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