Oval nodule in the anterior right pleural space. Small to medium left effusion with pleural thickening and nodularity. Trace loculated anterior pericardial effusion. Few enlarged anterior costophrenic angle lymph nodes.
Several low-attenuation liver lesions, likely cysts. Two low-attenuation splenic lesions. Left greater than right adrenal thickening. No renal lesions. Extensive periaortic/retroperitoneal soft tissue/adenopathy. Prominent gastrohepatic ligament soft tissue abuts the pancreas. Oval nodule above the transverse colon. Two small nodules in the left lower retroperitoneum. Pelvic adenopathy.
Cocoon/encased appearance of the small bowel within the mesentery. Very large mass centered within the mesentery. Soft tissue and peritoneal thickening with fluid surrounding the encased small bowel loops. Small amount of free pelvic fluid.