There is a new focal liver lesion in segment VII of the liver. This is of mixed density with a cystic/fluid/water density component anteriorly measuring 2.3 cm, and slightly denser components inferiorly. There is an impression of some enhancement and a nodular enhancement inferiorly. There is a 1.7 cm area of solid hyperenhancement in segment VIII. A further area of solid enhancement is visible in the periphery of segment VI, measuring 11 cm, in a peripheral location. A small circumscribed low-density lesion in segment IVb, 6mm
There is an area of dense calcification in segment 2 anteriorly, as seen previously.
The portal vein is patent. The biliary tree is not dilated.
Renal cysts. Otherwise, kidneys, spleen, adrenal glands, pancreas are normal. There is no free fluid, fluid collection, lymphadenopathy or mass in the abdomen or pelvis.
The lung grafts (not shown) are satisfactory without any evidence of consolidation or infiltrate, cavitation, or mass. Pleural spaces clear. Heart size borderline. No pericardial effusion. The visible bones are normal in appearance.
Conclusion: Indeterminate liver lesions. The lesion in segment VII has mixed solid and cystic appearances and abnormal enhancement. Tumour is a possibility but an abscess should be considered. MRI liver could be performed.