The lesion within the left lobe of the liver is mildly hypodense on non-contrast imaging. This demonstrates peripheral nodular enhancement on the arterial phase imaging, with progressive and more central enhancement on portal venous and delayed phase imaging. The lesion has approximate dimensions of 50 x 55 x 43 mm (AP x ML x SI).
The liver appears diffusely mildly hypoattenuating in keeping with mild fatty infiltration. There is a tiny hypodense focus within segment VIII of the liver measuring 4 mm which is too small to further characterise.
Arterially enhancing small lesions in segment VII measuring 8 mm, segment VIII measuring 8 mm, and segment VI measuring 9 mm are likely flash filling haemangiomas.
The gallbladder, spleen, adrenal glands and kidneys are unremarkable in appearance. There is a small volume of stranding seen around the pancreas, particularly the pancreatic tail. The pancreas itself demonstrates homogeneous enhancement.
No dilated loops of the small or large bowel. Diverticular disease of the sigmoid colon. No free fluid or free gas.
Ill-defined nodular ground-glass density within both lower lobes and the visualised posterior aspect of the right middle lobe. There is also mild bronchial wall thickening seen within both visualised lower lobes.
No suspicious bony lesion.
Comment:
-55 mm lesion within the left lobe of liver, compatible with a haemangioma.
-Three further subcentimeter enhancing liver lesions are compatible with further small flash filling haemangiomas.
-Background hepatic steatosis - referral to fatty liver clinic recommended.
-Trace of stranding around the pancreas particularly the pancreatic tail, raises suspicion for a component to mild acute pancreatitis in the correct clinical setting.