Metastatic small cell carcinoma with liver abnormalities LIVER: Diffusely heterogeneous liver with multiple bilobar confluent hypoechoic mass lesions. Liver length 27.2 cmDoppler interrogation of hepatic vessels demonstrate a possible filling defect in the main portal vein. Main portal vein flow remains pedal with a velocity 15.8 cm/s. Hepatic artery and hepatic veins appear patent.GALLBLADDER, BILIARY TRACT: No significant abnormality noted.PANCREAS: No significant abnormality noted.SPLEEN: No significant abnormality noted. 8.1 cm in length KIDNEYS: Right kidney 12 cm in length Left kidney 11.6 cm in length ABDOMINAL AORTA: No significant abnormality noted.INFERIOR VENA CAVA: No significant abnormality noted.OTHER: Porta hepatis adenopathy. No ascites. Right pleural effusion.
Diffusely heterogeneous liver with bilobar confluent mass lesions worrisome for metastatic disease. No ductal dilatation. While the hepatic vessels appear patent with normal directional flow, there may be a nonobstructing filling defect within the main portal vein. No ascites.