80-year-old woman with history of HCV cirrhosis, evaluate for HCC. Please note that this examination was limited by motion as the patient was unable to hold her breath.ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted within the liver. The patient is status post cholecystectomy. There is mild extrahepatic biliary duct dilatation measuring up to 0.8 cm. Additionally there is a 0.7 cm area of curvilinear T2 hypointensity seen along the distal common bile duct (series 4, image 25).SPLEEN: Accessory splenule is noted.PANCREAS: The distal pancreatic duct is dilated to 7 mm (series 7, image 22) to level of aforementioned distal CBD T2 hypointensity. Smaller T2 hypointense focus seen in distal pancreatic duct, next to or in contiguity with distal CBD T2 hypointense signal.ADRENAL GLANDS: The adrenal glands are normal.KIDNEYS, URETERS: Innumerable bilateral renal cysts are noted, some of which demonstrate high T1 signal suggestive of hemorrhage or proteinaceous contents.RETROPERITONEUM, LYMPH NODES: No significant lymphadenopathy noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Examination limited by patient motion/inability to hold breath and lack of intravenous contrast.2.No focal hepatic lesion identified.3.CBD and pancreatic duct dilatation with T2 dark signal focus in the distal common bile duct and extending to region of PD suspicious for benign or malignant ampullary stricture, however underlying choledocholithiasis not entirely excluded. ERCP should be considered for further evaluation as clinically warranted.4.Bilateral renal cysts, some mildly complex with proteinaceous/hemorrhagic contents.