Right upper quadrant pain with worsening LFTs; history breast cancer LIVER: Widespread bilobar confluent metastatic lesions again noted within the liver. Liver length 17.8 cmGALLBLADDER, BILIARY TRACT: No significant abnormalities noted.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. 11 cm in length OTHER: Left kidney 10.5 cm in length. Spleen 10.4 cm in length. Trace ascites. Bilateral pleural effusions.
Widespread bilobar confluent metastatic hepatic lesions again noted without ductal dilatation. Trace ascites.