53-year-old female with history of cholangiocarcinoma. ABDOMEN:LIVER, BILIARY TRACT: Surgical changes from a partial right hepatectomy. Increased size of the known fluid-filled cavity (axial series 4 image 8) measuring 9.4 x 5.6 cm (prior 7.5 x 4.5 cm). Nodular focus of T2 hyperintense signal measuring 3.6 x 1.9 cm (axial series 4 image 13) again demonstrates contrast enhancement and has increased in size (prior 1.9 x 1.4 cm). The nodule encases the middle hepatic vein. The left portal vein is patent. The segment 8 ablation cavity has decreased in size in the interval. Similar appearing portacaval lymph nodes.SPLEEN: Unchanged T2 hyperintense nonenhancing splenic lesion, probable cyst.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Similar appearing portacaval lymph nodes.BOWEL, MESENTERY: No evidence of peritoneal disease.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Interval resolution of the small right pleural effusion.
1.Status post right partial hepatectomy and segment 8 radiofrequency ablation. Residual enhancing tumor nodule at the hepatectomy margin has increased in size. No evidence of peritoneal disease.