US upper abdomen
ULTRASOUND OF THE UPPER ABDOMEN
The study revels a large heterogeneous hypoechoic Iesion at rt hepatic lobe measuring about 8×6.5 cm in size. Few small hypoechic lesions scattered at rt hepatic lobe are seen measuring about 2 cm in size. Mild diffuse conarsed live parenchyma is noted. Mild hydronephrosis both kidneys with mild dilated both upper ureters are detected. Two large multiloculated conglomerate echoic & solid lesions at left hemiabomen & mid lower abdomen is noted measuring about 10×10 & 13×8 cm in size. Moderate amount fo ascites of ascites fluid is seen.
The GB, CBD, spleen appear normal. No abdominal LN is detected.
IMP;
two large lesion at left hemiabdome & mid lower abdomen could be recurrent carcinoma (from GIST)
-mild hydronephrosis both kidneys with mild dilated both upper ureters suspected of ureteric obstruction