57-year-old male with cirrhosis of unknown etiology. Please assess lung nodule and questionable liver mass and evaluate for abdominal abscess This study is limited due to lack of IV contrast. Especially focal liver lesions cannot be optimally evaluated.CHEST:LUNGS AND PLEURA: Left lower lobe subsegmental atelectasis. Bibasilar dependent atelectasis. Trace amount of pleural effusion bilaterally.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver. There is an ill-defined hypodense area near the dome of the liver measuring 2.9 x 2.4 cm on image number 52, series number 4. Lack of IV contrast precludes optimal evaluation of this lesion, however, given the patient's cirrhosis this lesion is suspicious for hepatocellular carcinoma.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Bilateral mild caliectasis is likely secondary to significant distended bladder. Both ureters are normal in size.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Small amount of ascites.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS:PROSTATE, SEMINAL VESICLES: No significant abnormality notedBLADDER: Significantly distended bladder.LYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: Bilateral lytic, destructive lesions in both iliac bones.OTHER: No significant abnormality noted
No evidence of chest mass or intra-abdominal abscess.Cirrhosis and portal hypertension.Focal hypodensities in the liver. It cannot be characterized at the level of IV contrast, however, given the presence of cirrhosis, this lesion is suspicious for hepatocellular carcinoma.Bilateral iliac bone lytic lesions concerning for metastatic disease or multiple myeloma.Significantly distended bladder, of uncertain etiology.