38-year-old female with right upper quadrant abdominal pain, nausea, and vomiting ABDOMEN:LIVER, BILIARY TRACT: No focal liver lesions. Cholelithiasis is noted. Small filling defect at the distal common bile duct at the level of the ampulla likely reflects a small gallstone. There is an arterially enhancing lesion in hepatic segment six measuring 1.4 x 1.2 cm (series 13, image 135). Additional arterially enhancing lesions within hepatic segment seven and two. These lesions are isodense to liver parenchyma on subsequent phases.SPLEEN: Probable splenule inferior to the pancreatic tail measuring 1.2 x 1.3 cm.PANCREAS: Mild edema type signal surrounding the pancreatic head may reflect pancreatitis.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.Cholelithiasis with pericholecystic fluid can be seen in the setting of acute cholecystitis.2.Choledocholithiasis with small stone at the distal CBD at the level of the ampulla. Mild edema surrounding the pancreatic head may reflect mild pancreatitis.3.Arterially enhancing lesions within hepatic segment two, six, and seven may represent hepatic adenomas or focal nodular hyperplasias. Follow-up MRI in 6-12 months with FNH protocol is recommended to ensure stability.