CT Scan post liver resection

Please feel free to read, share your thoughts, your stories and connect with others!
L0729
Posts: 23
Joined: Sat Mar 26, 2022 4:40 pm

CT Scan post liver resection

Postby L0729 » Wed Aug 31, 2022 1:35 pm

Hi, I had a CT scan today and just received the results. It seems inconclusive in regards to the two mets that I had, back on June 6, one met was resected, and the smaller one was ablated. This is what the radiologist reported:

Hepatic ablation cavities have increased in size, status post treatment. For example, a 2.6 cm lesion in segment 7 was 1.1 cm (image 19, series 1) and a 2.0 cm adjacent lesion just anteriorly was 0.9 cm (image 17
Increased in size hepatic ablation cavities with residual disease difficult to exclude on CT.
I probably should have waited to look at this report as it's just confusing, not sure what a ablation cavity is?, and I guess it's not good if it's getting bigger?
I won't meet with my oncologist until next week - should I request an MRI or PET scan?
Just wondered if anyone on this forum had any insight into this.
thank you,.....
2/22 - Dx with stage 4 rectal cancer 4cm on/1cm from AV - age 60
T4, poorly diff., EMVI + MSS
3/22 - CT/MRI 2 liver mets 2.1 cm and 1 smaller close to hepatic vein
3/22 Infusion - plan 6 treat. Folflox 6, liver res., chemoradiation, rectal surgery 6 more cycles Folfox
5/5 - CT/MRI, lung nodules no change, liver lesions red. to 1.1 and .9cm, rectal tumor/suspicious lymph node red..

Nor Cal
Posts: 67
Joined: Sun Dec 06, 2020 8:18 pm

Re: CT Scan post liver resection

Postby Nor Cal » Wed Aug 31, 2022 4:54 pm

My liver guy prefers MRI's once liver directed therapies have been used. I had a Ct come back saying I had 6 new tumors. He said the reading was incorrect and ordered an MRI which determined the spots to be scarring and accumulation of blood products. I'd talk to them about the value of other imaging techniques aside from Ct.
Dx June 2020, stage IV, w liver mets in both lobes. M, age 50. Right-sided colon tumor. CEA 120.
BRAF+ TMB 5% MSS TDL1-1%
July 2020 - Present: 35 cycles chemo (All the various 5-FU regimens)
December 2020 - February 2021 Y90 Radioembolization, Chemoembolization x2

L0729
Posts: 23
Joined: Sat Mar 26, 2022 4:40 pm

Re: CT Scan post liver resection

Postby L0729 » Wed Aug 31, 2022 5:11 pm

Thanks Nor Cal, I wasn't sure if an MRI would clarify or if I should push for PET Scan, if my insurance would even cover. I have to go for an MRI soon to show what the chemo radiation did to the rectal tumor, I will push for MRI liver imaging as well if they don't suggest it themselves.
Appreciate your advice.......
2/22 - Dx with stage 4 rectal cancer 4cm on/1cm from AV - age 60
T4, poorly diff., EMVI + MSS
3/22 - CT/MRI 2 liver mets 2.1 cm and 1 smaller close to hepatic vein
3/22 Infusion - plan 6 treat. Folflox 6, liver res., chemoradiation, rectal surgery 6 more cycles Folfox
5/5 - CT/MRI, lung nodules no change, liver lesions red. to 1.1 and .9cm, rectal tumor/suspicious lymph node red..


Return to “Colon Talk - Colon cancer (colorectal cancer) support forum”



Who is online

Users browsing this forum: No registered users and 5 guests