Reason: R lobe lesion, followup History: PBC, pancreatic cysts ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver morphology. TIPS is redemonstrated. Peripheral right hepatic lobe segment 7 lesion demonstrates arterial enhancement and hyper to isointense signal on delayed phase images. The lesion demonstrates increased T2 and DWI signal intensity. It measures approximately 1.6 x 1.5 cm (series 11, image 26), unchanged from previously 1.7 x 1.6 cm on 3/18/2015 MRI but new from 2013 exam. While these findings do not meet criteria for diagnosis, this lesion remains suspicious for hepatocellular carcinoma.Common bile duct dilation, as below.SPLEEN: No significant abnormality noted.PANCREAS: There are innumerable cysts of varying sizes replacing the pancreas. These have increased gradually since 9/30/2008 CT exam and likely represent combined main and side-branch type IPMNs. The common bile duct is also markedly dilated, which may reflect obstruction by cystic pancreatic lesions.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.Right hepatic lobe lesion new from 2013 with signal characteristics suspicious for hepatocellular carcinoma, though not meeting criteria for diagnosis.2.Innumerable cystic lesions replacing the pancreas have increased gradually since 2008, likely representing combined main and side-branch type IPMNs.3.Marked dilation of the common bile duct may reflect obstruction by cystic pancreatic lesions.