MRI Abdominal Case Study

The following is our MRI Abdominal Case Study of the month. The patient came for exam for history of liver cancer. The MRI Abdominal Case Study procedure included multi-planar images of the abdomen obtained with and without IV contrast on our 1.5 Tesla MRI machine. The comparison MRI scan was done on 4/27/2015.

MRI Exam Findings:

Liver: The largest mass in the medial segment of the left lobe of the liver now measures 5 cm transversely, compared to 4.5 cm on the prior study.  A lesion at the junction of the medial and lateral segments of the left lobe now measures 2.6 cm, compared to 2.0 cm previously.  There is a nodular contour of the liver surface, consistent with the history of cirrhosis.  The hepatic and portal veins remain patent.

Gallbladder: There are small gallstones in the gallbladder, with a chronically thickened appearance of the gallbladder wall.

CBD: The common bile duct is normal in caliber.

Pancreas: The pancreas appears normal.

Spleen: The spleen is remains enlarged, measuring 16 cm.  No splenic mass.

Adrenal Glands: The adrenal glands appear normal.

Kidneys: The kidneys appear normal.  No mass or hydronephrosis is seen.

Aorta: No evidence of aortic aneurysm or dissection is seen.

Lymphatics: No abdominal lymphadenopathy is present.  There is a very small amount of ascites.

Impression: Cirrhosis of the liver.  Progressive masses in the liver, consistent with progressive multifocal tumor, largest in the medial segment of the left lobe now measuring 5 cm transversely.

For more information on MRI imaging services at Greater Waterbury Imaging Center, visit our clinical section of the website.