Hepatomegaly by physical exam. History renal cell carcinoma status post right nephrectomy LIVER: Multiple bilateral confluent hepatic mass lesions worrisome for metastatic disease. Several these masses demonstrate probable necrosis. The largest mass in the right lobe liver measures 11 x 9.8 cm. GALLBLADDER, BILIARY TRACT: No significant abnormalities noted.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: AbsentOTHER: Left kidney 10 cm in length. Multiple low attenuation foci within the spleen. Spleen length 12.6 cm. No ascites. Extensive porta hepatis and peripancreatic adenopathy.
Extensive large bilobar confluent hepatic masses worrisome for metastatic disease. Associated with regional adenopathy presumably metastatic. Possible splenic metastases.