40-year-old male with new onset jaundice. Per Epic notes, reported history of hepatitis A infection 3 weeks ago. ABDOMEN:LIVER, BILIARY TRACT: The liver parenchyma demonstrates normal signal intensity. There is a 1.4 cm cyst within the inferior aspect of the right hepatic lobe. No suspicious hepatic lesions are identified. The hepatic vasculature is patent.The gallbladder is contracted. There is no intrahepatic biliary ductal dilatation. The common bile duct is upper limits of normal in caliber measuring 6 mm. No dominant strictures or biliary stones are identified.SPLEEN: No significant abnormality noted.PANCREAS: The pancreas demonstrates normal parenchymal signal intensity and enhancement. The pancreatic duct is not dilated. There is a 4 mm T2 hyperintense focus within the pancreatic head (series 3, image 32) which is nonspecific but most likely represents a sidebranch IPMN. There is a 12 x 18 mm area of intermediate T1 signal intensity within the pancreatic tail (series 4, image 52) which follows splenic parenchymal signal intensity and enhancement on all sequences and is compatible with an intrapancreatic splenule.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Subcentimeter renal cysts are present within the left kidney.RETROPERITONEUM, LYMPH NODES: There is confluent periportal lymphadenopathy (series 8, image 18). No additional lymphadenopathy is identified.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Periportal lymphadenopathy which is nonspecific but may be related to viral hepatitis. 2.Unremarkable appearing biliary tree without significant dilation, dominant stricture, or choledocholithiasis.