Abdominal pain, cholangiocarcinoma and perforated gallbladder status post IR drain ABDOMEN:LIVER, BILIARY TRACT: Interval removal of cholecystostomy and perihepatic collection drains. No loculated perihepatic fluid collections. Mild intra and extrahepatic biliary ductal dilation. There is mild biliary wall thickening just below the Klatskin point. The patient's known tumor may be obscured by the common bile duct stent. However, there is hazy soft tissue posterior to the common bile duct, which appears to encase a replaced right hepatic artery and abuts the anterior margin of the portal vein without definite vessel invasion (series 11, image 56). No evidence of liver metastases.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral renal cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.
1.Interval removal of cholecystostomy and perihepatic collection drains with resolution of perihepatic fluid collection.2.Hazy soft tissue posterior to the common bile duct, which encases the right hepatic artery and abuts the anterior margin of the portal vein without discrete vessel invasion.3.Replaced right hepatic artery.