MR LIVER W/WO CONTRAST

June 27, 2012 MRI of abdomen

CLINICAL STATEMENT: Colon cancer

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: May 25, 2012

FINDINGS:

HEPATOBILIARY: Diffuse fatty liver. Stable 1.4 cm hemagioma in segment 7 and 1.1 cm hemagioma in segment 2 (since July 2011). Decreased size of ablation defect in segment 7 and associated linear ablation tract. Increased segment 4A liver metastasis measuring 1.0 x 1.0 cm, previously 0.8 x .05 cm. Increase in marginal recurrence along a segment 5/6 surgical margin, measuring 1.8 x 1.4 cm, previously 1.3 x 1.1 cm. No biliary dilatation. Conventional hepatic arterial anatomy.

SPLEEN: Unremarkable

PANCREAS: Unremarkable

ADRENAL GLANDS: Unremarkable

KIDNEYS: Bilateral renal cysts, including a right renal hemorrhagic/proteinaceous cyst. No hydronephrosis.

ABDOMINOPELIVIC NODES: No adenopathy

BONES/SOFT TISSUES: Unremarkable

OTHER: None

IMPRESSION:

1. Since May 25, 2012, increase in size of segment 4A and segment 6 liver metastases.
2. Conventional hepatic arterial anatomy.
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so where does the two lesions show on the lungs????

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