33-year-old male with elevating LFTs. History of colon cancer. LIVER: The patient is status post right hepatectomy. The residual liver is enlarged, measuring 20 cm in craniocaudal dimension. There are multiple large discrete heterogeneously hyperechoic liver lesions compatible with metastatic disease. The largest measures 6.1 x 5.6 x 7.0 cm. Normal hepatopetal portal venous blood flow at 32 cm/sec. No intrahepatic biliary ductal dilatation.GALLBLADDER, BILIARY TRACT: The gallbladder is absent. No extrahepatic biliary ductal dilatation with the common bile duct measuring 2 mm.PANCREAS: Limited evaluation of the pancreas is unremarkable.RIGHT KIDNEY: The right kidney is enlarged, measuring 14.4 cm with hydronephrosis seen on the prior CT. No shadowing calculi.OTHER: Splenomegaly, measuring 17.7 cm in length. The left kidney is enlarged, measuring 14.3 cm in length with of hydronephrosis.
1. Multiple large hepatic masses compatible with metastatic disease. No biliary ductal dilatation.2. Bilateral moderate hydroureteronephrosis without shadowing calculus.3. Splenomegaly.