Heterogeneous liver with lobulated contour and diffuse macronodular appearance, including capsular retraction. In both hepatic lobes are areas with high T1 / low T2 signal that exhibit contrast enhancement on the late postcontrast venous phase. All of these findings are not seen on the CT from three years prior and are most consistent with pseudocirrhosis, most probably with fibrotic changes and possibly neoplastic (metastatic) infiltrate as well.
Free intraperitoneal fluid in the upper abdomen.
Left adrenal slightly thickened, without a discrete nodule, unchanged.
Several renal cysts up to 30 cm in diameter in the right kidney, several tiny cysts in the left kidney.
Widespread skeletal metastases
In conclusion:
Pseudocirrhosis: complication of treated hepatic metastases.