NABH

DEPARTMENTMEDICAL
CHRISTIAN OF RADIODN
RADIODIAGNOSIS AND IMAGING
COL
ICAL COLLEGE,
VELLORE
- 632 004

ame LAKSHMANAN.K -----=****

Hospital D: 449199A DOB/Se: 01.07.1952/M

Accession No : Relerring nil:RTI

Study Date: 22.02.2022 220218023020 /
Type: Out Patient
12:27 14:13
Report
Date : 24.02.2022

REPORT
---------*

------***
CT
ABDOMEN / PELVIS :

Findings
LIVER irregular margin with
*there is
evidence of left lobe
Evidence of well-definedhypoenahncing hypertrophy. segment 6 and 7 of right lobe of liver
E lesion involving
ed hv
exophytic component, measures hypodense involving s with partial
noted along uthe inferior aspiect of lesion
ucnse areas noted
There is evidence
-

about 80 x 85 x cl 8.7 x 7.3 x 7./cms

ms).
of a small 82mm P clesion along the superior and antero-
Superior aspect of the hva arterialCTal phase enhancing nodular
nodular ics
csIon, measures 20 xl Imm and 18 x 13mm( Se-4. im-46,52)
-

Minimal subheaptric fat

-

stranding
previously seen hypoensching lesion in noted
VIl not seen prese
nere is
hypodense lesion in segment 4Asegemnt
of left lobe of liver. No arterial phase enndncc ent.
SPLEEN Nil significant -

GB Nil significant
-

PANCREAS Nil significant -

ADRENALS -

Nil significant
KIDNEYS - Nil significant

BOWEL. MESENTERY. OMENTUM -Nil significant

LYMPHADENOPATHY -
a) greater omental - Nil significant
b) lesser omental - Nil significant
c) mesenteric - Nil significant
d) diaphragmatic - Nil significant
e) para-aortic - Nil significant

f) para-iliac - Nil significant

FLUID - Nil.
 NABH
DEPARTMENT
C
OF RADIODIAGNOSIS
RA DIODIAGNos
AL COLLEGE,
AND IMAGING
CHRISTIAN MEDIC
------*-***********--.
VELLORE -632 004
* ****** --------------------------****
~~------------
-------

DOB/Se :01.07.1952/M
Name : LAKSHMANAN.K
Hospital ID : 449199A
Rcferring Unit RTI
Accession No : 220218023020
Type: OutPatient/
Report Date : 24.02.2022 14:13
Study Date: 22.02.2022 12:27

REPORT

BLADDER - Nil significant.

PROSTATE - Nil significant.

SEMINAL VESICLES- Nil significant.

INGUINAL ORIFICES - Nil significant.

ABDOMINAL WALL - Umbilical hernia win mentum as content, defect measures 18mm.

from SMA.
BLOOD VESSELS -

replaced right hepatic artery

-

Portal vein patent.

VISUALISED LUNG BASES - subpleural bands noted in posterior basal segment of right lower

lobe.
VISUALISED BONES -Interval development of expansile lytic lesion with soft tissue component
in lateral aspect of left Sth rib.
there is evidence of compression fracture of T7 vetebrae with mixed lytie sclerotic areas. Spine
stabilization device seem.

IMPRESSION 69yr old with metastatic HCC for evaluation. post lenvatininb. CT shows:

1) Features of chronic liver disease.

2) Evidence of hypoenhancing lesion involving segment 6 and 7 ofright lobe of liver
Evidence of well-defined hypodense areas along the inferior aspect of lesion with partlal
less
exophytic component treatment induced changes consistent with inactive lesion (More
-
or

stable in size and appearance).

S m a l l arterial phase enhancing nodular lesion along the superior a n d antero-superior aspect or i c

hypodense lesion (Se-4, im-46,52) - Stable compared to previous scan.

Stable minimal sub-hepatic fat
stranding
-

Previously seen hypoenhancing lesion in segment VII not seen present

3) Small hypodense lesion in segment IV A of lef lobe. No arterial phase enhancement- lnac
lesion.
TADIETT1OT

TRE

UNTO

NABH
DEPARTMENT OF RAI RADIODIAGNOSIS AND IMAGING

632 004
CHRISTIAN MEDICAL COLLEG
cOLLEGE,
VELLORE
-

ICAL
Name LAKSHMANAN.K DOB/Se1 : 01.07.1952/M

Hospital i): 449199A Referring nit R T I

Accession No: 220218023020 Type: OutPatient/

Study Date: 22.02.2022 12:27 14:13

Report
Date : 24.02.2022

REPORT

3) Interval increase in size of expansile lytic lesion with soft tissue component in lateral aspect of
ICT n rib (compared to serial x-ray from Sentemher 27th 2021to Feb 18th 2022)
4) EVIdence of compression fracture of T7 vertehrae with mixed lytic sclerotic areas. >puc
stabilization device seem.

Dr.Abishek.

Approved By : Dr. Abishek Menon Date: 24.02.2022 14:13