Reason: pt with h/o chr abdominal pain and PD dilatation, evaluate for pancreatic ductal/parenchymal abnormalities or CP History: chronic abd pain,. ABDOMEN:LIVER, BILIARY TRACT: Right cystic lesion in the dome of the liver demonstrates thick peripheral enhancement and thin internal septations. Compared to as far back as prior 2011 examination, lesion has increased in size exam, measuring 3.9 x 4.5 cm (series 4 image 4), previously 3.5 cm. Mild intrahepatic and extrahepatic biliary ductal dilatation and irregularity, unchanged. Focal narrowing of the proximal common hepatic duct. The common bile that measures up to 1 cm. Hypointense focal defects in the biliary ducts likely represent pneumobilia as seen on prior CT. Post surgical changes of cholecystectomy. Diffuse heterogeneous enhancement of the liver.Hepatic vasculature patent.SPLEEN: No significant abnormality noted.PANCREAS: Pancreatic ductal dilatation measuring up to 0.7 cm. No definite mass.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Cystic lesion in the dome of the liver with thick peripheral enhancement has grown compared to as far back as 2011. 2.Stable biliary and pancreatic ductal dilatation. 3.Heterogeneous enhancement of the liver. 