47-year-old female with Li Fraumeni syndrome. Evaluate for malignancy. LIVER: Liver is enlarged measuring 21 cm in length. The hepatic parenchyma is heterogeneous with a regular increased attenuation consistent with irregular fatty liver. In the right lobe there is noted a nondescript, hypoechoic ovoid mass measuring 4.4 x 4.9 x 6.3 cm. Although images of this mass were limited on prior ultrasound from 1/12/2015, the mass looks larger than on MR and CT studies from 2013. This was characterized as a hemangioma on prior MR.GALLBLADDER, BILIARY TRACT: Gallbladder contains multiple, dependent shadowing, calculi without definite wall thickening. No pericholecystic fluid.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: Right kidney measures 12.6 cm in length with a simple-appearing 2.8 cm cyst in the midportion. No hydronephrosis, shadowing calculus or mass.OTHER: The left kidney measures 11.6 cm in length. No hydronephrosis, shadowing calculus or mass.Splenic size normal.
Irregular fatty liver with hepatomegaly. Enlarging hepatic mass demonstrated to represent hemangioma on prior MR.Right renal cyst.