59 years, Female, Reason: hx of GB carcinoma and liver abscess History: bile duct dilatation on ultrasound, grossly abnormal Alk phos and tBILI. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There are numerous cysts occupying the majority of the right hepatic lobe. There is severe intrahepatic biliary ductal dilatation. There is ill-defined soft tissue density within the hepatic hilum at the Klatskin point suspicious for neoplasm, the margins of which are difficult to measure without intravenous contrast. The right and left intrahepatic bile ducts as well as tertiary ducts are invaded with tumor. There is a stent in the distal common bile duct.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.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: Moderate abdominal ascites.
1.Exam is limited as it was discontinued by the patient.2.Ill-defined soft tissue at the hepatic hilum with associated intrahepatic biliary ductal dilatation is suspicious for neoplasm.3.Numerous cysts in the right hepatic lobe are suspicious for abscess.4.Moderate abdominal ascites.