รบกวนช่วยแปลตรวจ CT

kasamaib
Jul 30, 2021 at 09:36 AM ได้ผลมาแบบนี้ หมายความว่ายังไงเหรอคะ

Liver Shows mild hepatomegaly with smooth surface, There are multiple arterial enhancing leslons scattered in right hepatic lobe which

show washout in portovenous and delayed phases, likely multifocal hepatocellular carcinoma (HCC). The dominant lobulated mass

occupying right hepatic lobe is measured about 10.7x11.0x11. 9 cm in transverse, AP, CC dimension.

ing soft tissue fills in right, left, main portal veins and their branches, likely tumor thrombus. Hypodense thr

SMV is noted, probable bland thrombus. Cavernous transformation Is seen. The mass has pressure effect to right hepatic veins but still

patent. Middle & left hepatic veins, IVC and splenic vein are patent.

Wedge-shaped areas of increased attenuation in both hepatic lobes which become isoattenuation in delayed phase, likely transient

hepatic attenuation difference (THAD).

Gallbladder appears normal. No bile duct dilatation is seen.

Right adrenal gland is posteriorly displaced due to pressure effect from hepatic mass. Left adrenal appears normal. No adrenal nodule is

seen.

Pancreas and spleen are unremarkable.

Both kidneys show normal size and parenchymal enhancement. No renal stone or hydronephrosis is noted.

Circumferential bowel wall thickening along included jejunum, probably systemic process. Stomach is unremarkable.

Small amount of free Fluid at perihepatic region. No pneumoperitoneum Is detected. Few subcentimeter lymph nodes at aortocaval and

periaortic regions, size up to 0.7 cm. Few calcification at mesenteric region, size up to 1.9 cm.

Several subpleural blebs and bullae at included both basal lungs, size up to 2.7 cm at inferior lingular segment of LUL. A 0.8 cm air filled

cyst at inferior lingular segment of LUL.

Mild degenerative change of visualized spine. No osteolytlc or osteoblastic lesion is seen.

IMPRESSION:

- Likely multiFocal HCCs scattered in right hepatic lobe, slze up to 10.7x11.0x11.9 cm.

- Likely tumor thrombus in right, left, main portal veins and their branches with probable bland thrombus in proximal SMV.

ㆍ Circumferential bowel wall thickening along Included jejunum, probably systemic process.

- Small amount of free fluid at perihepatic region.

- Few calcification at mesenteric region, size up to 1.9 cm, probable calcified lymph nodes.

-Several subpleural blebs and bullae at Included both basal lungs.