67-year-old male with gallbladder lesion invading into the liver. History of hepatitis C. ABDOMEN:LUNG BASES: Small hiatal hernia.LIVER, BILIARY TRACT: Mild gallbladder wall thickening and enhancement with nodular appearance at the fundus (e.g. series 102/56), decreased when compared to prior CT. Few small gallstones. No biliary ductal dilation. No focal hepatic lesions. SPLEEN: Previously seen hypoattenuating lesion in the spleen demonstrates dark T2 signal with delayed enhancement, most suggestive of sclerosing angiomatoid nodular transformation (SANT) lesion.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral renal cysts.RETROPERITONEUM, LYMPH NODES: Previously seen nonspecific prominent portacaval lymph node has decreased in size and appears within normal limits.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Mild gallbladder wall thickening with nodular appearance at the fundus has decreased when compared to prior CT with no focal liver lesions seen on the current MRI. Overall, the findings favor chronic cholecystitis with reactive changes in the adjacent liver on prior CT. Follow-up imaging with ultrasound can be obtained as clinically indicated to ensure resolution.