54-year-old female with elevated alkaline phosphatase ABDOMEN:LIVER, BILIARY TRACT: T2 hyperintense cyst in the left lower liver, segment 4A with nodular discontinuous peripheral enhancement compatible with hemangiomas.. The common bile duct is normal in caliber. Status post cholecystectomy. No choledocholithiasis.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: Scattered subcentimeter retroperitoneal and mesenteric lymph nodes.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Patchy nodular opacities in bilateral lower lobes (more pronounced on left side) are again demonstrated, appearing similar to that seen on the prior CT, likely infectious or inflammatory.
1.No intra- or extra-hepatic biliary ductal dilation. 2.Left liver lobe lesion compatible with a hemangioma. 3.Unchanged patchy nodular opacities in bilateral lung bases. 