Hepatomegaly. 1.6 cm left hepatic lobe mass seen on CT suspicious for HCC. ABDOMEN:LIVER, BILIARY TRACT: The liver measures 18.2 cm in craniocaudal dimension. There is mild left hepatic and caudate lobe hypertrophy.The study is somewhat limited by motion. The left hepatic lobe lesion is not definitively seen or characterized.The common bile duct measures up to 14 mm which tapers somewhat abruptly at the level of the ampulla without a discrete mass lesion or filling defect.Cholelithiasis within a partially contracted gallbladder. No evidence of gallbladder inflammation.SPLEEN: No significant abnormality noted.PANCREAS: Near the ampulla there is mild soft tissue prominence which may represent a combination of sphincter and pancreatic parenchyma without a definite lesion. Minimal main pancreatic ductal prominence without parenchymal atrophy or focal lesion. ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Right renal scarring. No hydroureteronephrosis or suspicious lesion.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Cardiomegaly. Left basilar compressive atelectasis.
1. The study is somewhat limited by motion. The left lobe lesion is not well seen or characterized. Percutaneous ultrasound-guided biopsy should be considered as this lesion was clearly seen on CT and ultrasound.2. Common bile duct dilatation with somewhat abrupt tapering at a minimally prominent ampulla. Correlate with LFTs and consider ERCP/EUS evaluation as clinically warranted to exclude an obstructing lesion.