| 2. Size of hepatic metastatic tumor: The largest lesion _____ mm is located in _____ segment |
|
| 3. Distribution of lesions: |
|
| Caudate |
S1 [ ] |
|
|
|
|
| Left lobe |
S2 [ ] |
S3 [ ] |
S4 [ ] |
|
|
| Right lobe |
S5 [ ] |
S6 [ ] |
S7 [ ] |
S8 [ ] |
|
| 4. Relationship with important blood vessels: |
|
| Right portal vein |
Trunk |
Not shown [ ] |
Shift [ ] |
Next to [ ] |
Well-defined [ ] |
| Branch |
Not shown [ ] |
Shift [ ] |
Next to [ ] |
Well-defined [ ] |
| Left portal vein |
Trunk |
Not shown [ ] |
Shift [ ] |
Next to [ ] |
Well-defined [ ] |
| Branch |
Not shown [ ] |
Shift [ ] |
Next to [ ] |
Well-defined [ ] |
| Right hepatic vein |
|
Not shown [ ] |
Shift [ ] |
Next to [ ] |
Well-defined [ ] |
| Middle hepatic vein |
|
Not shown [ ] |
Shift [ ] |
Next to [ ] |
Well-defined [ ] |
| Left hepatic vein |
|
Not shown [ ] |
Shift [ ] |
Next to [ ] |
Well-defined [ ] |
| Inferior vena cava |
|
Not shown [ ] |
Shift [ ] |
Next to [ ] |
Well-defined [ ] |
| 5. Hilar lymph nodes: Yes [ ] No [ ] |
|
| Size of the largest LN _____ mm × _____ mm |
|
| 6. Origin of vascular variation: |
|
| Left hepatic artery |
Arteria hepatica propria [ ] |
Left gastric artery [ ] |
|
| Right hepatic artery |
Arteria hepatica propria [ ] |
Superior mesenteric artery [ ] |
|
| Common hepatic artery |
Celiac trunk [ ] |
Superior mesenteric artery [ ] |
Abdominal aorta [ ] |
| 7. Uncertain transfer lesions: Yes [ ] No [ ] |
|
| 8. Location distribution of uncertain transfer lesions: |
|
| Caudate |
S1 [ ] |
|
|
|
|
| Left lobe |
S2 [ ] |
S3 [ ] |
S4 [ ] |
|
|
| Right lobe |
S5 [ ] |
S6 [ ] |
S7 [ ] |
S8 [ ] |
|
| Suggestions: For the lesions less than 10 mm shown by CT results, it is recommended that indeterminate metastatic lesions should be classified and further evaluation by hepatic contrast-enhanced MRI should be done, except for those with typical metastatic tumor features |
| 9. Others |
|