Posts Tagged ‘liver cancer adolescent’

Initial CT Scan report from Hudson Valley Hospital:

Examination . Contrast-enhanced Cat scan of abdomen and pelvis

History: Abdominal pain

The study has been performed with oral and non ionic IV contrast. (100 CC) Contiguous images from the lung base to the symphysis have been performed.

There is an approximately 1.3 CM nodule of the lower lobe. A second nodule is seen adjacent the right cardiac margin. These findings are suggestive of metastatic lesion.

There is an approximately 10 CM lesion on the right lobe of the liver is with mixed attenuation. There is a subcapsular extension of this lesion. There are numerous capsular and peritoneal implants. These findings are compatible with a malignant neoplasm with metastatic disease. Differential diagnosis includes but not limited to a primary hepatic lesion versus a metastatic lesion.

There are a myriad lesions the lower abdomen and pelvis which show mixed attenuation. These findings could represent multiple metastatic disease, the exact origin of these lesions are uncertain. Differential diagnoses includes but not limited to embryonal cell carcinoma, sarcomatous changes or other GYN tumors. The uterus blends imperceptibly with numerous lesions in the pelvis.
There are no dilated intrahepatic ducts.
The gall bladder shows no radiopaque calculi.
Spleen appears normal.
The right kidney appears normal.
Normal excretion of contrast bilaterally.
The adrenal glands are unremarkable.
The pancreas demonstrates no focal lesions. No pseudo cyst.

There is no obstruction of free air.

The appendix is not identified.

Possible adenopathy. PET scan recommended.

Review of the illac fossa bilaterally show no evidence of acute inflamatory process.

There is no evidence of abdominal aneurysm.

The bladder is outlined with urine and contrast.

Impression:

1. Metastatic nodules of the right lower lobe.
2. Large hepatic lesion with mixed attenuation measures approximately 10 CM. They are metastatic implants in the capsule of the liver and the peritoneum.
3. Ascites. Nurerrous lesions of the lower abdomen and pelvis with mixed attenuation. Differential diagnosis as above. MRI and PET scan are recommended. Embryonal cell carcinoma is not ruled out. Recommend AFP.
4. No intestinal obstruction. No free air.
5. Findings were discussed with pediatrician.