CT - 1 month later
- The liver is markedly enlarged and has a craniocaudal dimension of 24 cm
- Hepatic parenchymal heterogeneity is visible on contrast-enhanced CT scans
- The gallbladder wall is mildly thickened with pericholecystic fluid
- Mild pelvic and perihepatic ascites
- Hepatic simple cysts are visible in segment VI
- Right breast segmental resection and mediastinal lymphadenopathy
- Mild right-sided pleural effusion
- Hypodense metastatic lesions in the left femoral head (white arrow) and vertebrae (not shown)