Amy Ngo, NP - 11/12/2025 5:20 PM CSTFormatting of this note might be different from the original.Called patient and informed him of MRI results showing two new liver lesions concerning for metastatic disease. Will plan for PET/CT, tumor board review and possible referral to HPB surgery.Pt voiced understanding and agreement. Electronically signed by Amy Ngo, NP at 11/12/2025 5:21 PM CSTdocumented in this encounter