Findings: Average size liver with multiple focal hypodense lesions. These lesions show marked peripheral enhancement on arterial phase of the scan. No obvious internal enhancement is seen in these lesions on any phase of the imaging. No biliary dilatation is seen. Small focal left adrenal gland lesion with attenuation values matching lipid-rich adrenal adenoma. Small bilateral renal cysts.
Impression: Multiple focal hepatic lesions suggestive of hepatic metastases.