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The liver is not enlarged. There is a faintly enhancing lobulated hypodense mass lesion measuring 6.5 x 10.3 x 12.0 cm (AP x T x CC) at segments II/III of the liver, with more pronounced involvement of segment III and with an exophytic component having a small faintly calcified focus. Another faintly enhancing ill-marginated hypodense ovoid mass lesion, measuring 5.5 x 6.3 x 7.5 cm (AP x T x CC), is seen at hepatic segment IV. Small non-enhancing hypo densities, probably cysts, are demonstrated at segment VIII near the dome, segment II and junction of segment IV and VIII. The intrahepatic ducts are not dilated. The portal vein is patent.
There are enlarged lymph nodes in the left para-aortic and gastrohepatic areas measuring 1.9 x 1.2 cm and 1.3 x 0.8 cm, respectively. There is also apparent fullness in the region just on top of the gastroesophageal junction with approximate size of about 1.8 x 1.9 cm (AP x T) which raises the possibility of an enlarged lymph node. Another lower right paraesophageal ovoid structure with a tiny eccentric calcification suggestive of an enlarged mediastinal lymph node measuring 2.4 x 3.9 cm (AP x T) is demonstrated. Enlarged right anterior supradiaphragmatic lymph node is also observed.
The spleen is top normal in size with a subcentimeter non-enhancing hypodensity, probably a cyst, at its most supero-anterior aspect.
Incidentally, there are multiple subcentimeter non-calcified nodules in the right lower lobe of the lungs. There is a calcified nodule measuring 0.3 cm in the lingular segment. Minimal nodular pleural thickening is also appreciated in the right posterior pleural surface. There is also a 1.3 x 0.9 cm (AP x T) ovoid structure in the right lower lobe abutting the pericardium of the right atrium which is possibly a circumcardiac lymph node or subpleural nodule.