CT
The liver demonstrates a heterogenous pattern post contrast with an ill defined heterogenous mass in segment II, III . Segment IVb appears to be involved. The lesion in segment II appears to be infiltrating the IVC extending to the right atrium without a clear cardiac mass.
Gallbladder bile appears dense. CBD is dilated. There is mild perihepatic, pericholecystic, peri-splenic, left perirenal and pelvic fluid.
There is a thrombus within superior mesenteric vein and portal vein. Enlarged porta hepatis and gastric bed nodes seen.
Extensive concentric ascending colon wall thickening with associated luminal narrowing.
Multiple pulmonary nodules seen.