Surgical sutures at upper rectum in keeping with anastomotic site. No enhancing mass in this region.
Evidence of cholecystectomy with surgical clips in the gallbladder fossa.
New enhancing liver lesions. Similar small hypodense lesion in the spleen. Tiny bilateral renal cortical cysts.
Bifid pancreatic tail. Rest of pancreas is preserved. No focal pancreatic lesion or calcifications. No peripancreatic fat streakiness. Pancreatic duct not dilated.
Incidental findings of left renal vein passing anterior and posterior to the aorta.
Impression:
new hypervascular liver lesions suggestive of liver metastases (disease progression). No evidence of local recurrence
incidental findings of fishtail pancreas and circumaortic left renal vein