It’s clinically indicated as post left half liver resection (postoperative left semi hepatectomy), abnormalities in size and morphology of the residual liver with irregular edges and multiple regenerative nodules in liver parenchyma. Intrahepatic multiple low-density shadows were noted, and irregular enhancement appeared upon enhanced scan with the largest one sized about 33*37 mm; and scattered high-density shadows were noted in the some lesions. Intra- and extrahepatic bile ducts were not dilated. There were thickened gallbladder wall with enhancement. No abnormality was noted in pancreas. The spleen was enlarged. The kidneys was in normal size and morphology without fluid collection or dilation. There was no gas and dilation or gas-fluid level in the abdominal intestine lumen, and no thickening of the intestinal wall. The bladder was well-filled without abnormality. Multiple small lymph nodes increased in the hepatogastric space and retroperitoneal mesenterum. No shadows of enlarged lymph nodes were noted in pelvic wall; perihepatic effusion in small amount was noted.
Post left half liver resection changes;
Multiple irregular enhanced lesions in right lobe of liver were considering as tumors and post treatment changes, and the tumors were increased and enlarged compared with the previous Imaging (26 Jul 2018). It was recommended to combine with further MRI examination when clinically necessary;
Liver cirrhosis, splenomegaly, and intrahepatic multiple regenerative nodules;
Thickened gallbladder wall with enhancement; Perihepatic effusion in small amount;
Multiple small lymph nodes increased in the hepatogastric space and retroperitoneal mesenterum.
Reporting date: 22 Feb 2019