Triple phase liver
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The liver is enlarged and abnormal. Ill-defined heterogeneity throughout the liver, although predominantly affecting the left lobe. There are multiple hypodense lesions, which are irregular in shape and may represent a confluence of multiple smaller lesions (e.g. segment four b). These demonstrate some peripheral enhancement with portal venous phase filling in but this is inconsistent and no lesions show this pattern (e.g. segment five).
Concentric mural thickening of the distal oesophagus, gastro-oesophageal junction and cardia.
Adrenal glands, kidneys, pancreas and spleen are normal. Gallbladder is collapsed. Massively enlarged porta hepatis and para-aortic lymph nodes.