There are lobulated confluent masses and nodules in the left lobe of the liver at segments II, III and IV. Discrete dominant masses are noted at segment III measuring 7.6 x 5.5 cm and segment IV measuring 6.1 x 5.3 cm. Previous report of 6.5 x 10.3 x 12.0 cm is the confluent measurement of the lesions seen on CT scan, it is essentially the same given the difference in imaging modalities. Lesions are better seen due to the contrast for MRI. Signal intensities of the lesions are low on T1-weighted images and hyperintense on T2-weighted images. Post-contrast images show arterial enhancement and no relevant uptake on the liver specific phase. A small focus of hypointense signal is seen in the segment III lesion which corresponds to the faint calcified focus in the prior CT scan.
There are enlarged lymph nodes in the left paraaortic, gastrohepatic, porta hepatis, paraesophageal and right cardiophrenic regions. The largest measures 2.4 x 3.9 cm.
The spleen is prominent in size without discrete mass lesion. The gallbladder, pancreas, both adrenal glands and kidneys are normal. The osseous structures show no abnormal marrow signal.
There are nodular structures along the pleura in the right.