CT Abdo/Pelvis following histology
2 cm lesion is seen in the mid-distal ileum, 50 to 60 cm from the ileocaecal valve. This is associated with a very short segment intussusception. Adjacent mesenteric masses, the largest measuring 2.2 x 1.2 x 2.0 cm, shows mild desmoplastic reaction.
No para-aortic, retroperitoneal and inguinal or thoracic lymphadenopathy. An enhancing lesion in hepatic segment 7 measures 1.9 x 1.5 x 1.3 cm. No further liver lesions are seen. Multiple small soft tissue nodules are seen from the gallbladder wall, likely polyps. No abnormality of the kidneys, spleen, pancreas, adrenals or bladder. No suspicious expansile or destructive osseous lesions.
Ileal lesion, with adjacent desmoplastic mesenteric mass is concerning for a carcinoid tumour. Local mesenteric lymphadenopathy.
Enhancing hepatic lesion may represent a carcinoid metastasis, with the differential being a haemangioma. This could be further evaluated with contrast enhanced ultrasound or quad-phase CT.