Abnormal liver enzymes LIVER: Numerous confluent bilobar metastases again noted. Liver length 21.6 cm. Limited Doppler interrogation of the main portal vein demonstrates a patent main portal vein with normal directional flow.GALLBLADDER, BILIARY TRACT: Status post cholecystectomy. No ductal dilatation.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. 11.4 cm in lengthOTHER: Left kidney 12.6 cm in length. Spleen 17.4 cm in length. Trace ascites. Extensive porta hepatis and peripancreatic metastatic adenopathy again noted.
Hepatosplenomegaly again noted with extensive bilobar metastatic hepatic lesions again noted. No ductal dilatation. Extensive regional metastatic adenopathy again noted. Trace ascites.