75 year old female with a history of hepatic mass. ABDOMEN:LIVER, BILIARY TRACT: Normal liver morphology without evidence of cirrhosis. There is a 4.8 x 4.2 cm lobulated mass in segment 2/3 of the liver with associated central scar, slight increased T2 signal abnormality and homogeneous enhancement on postcontrast sequences, which persists on the two and half hour delayed contrast enhanced sequence. These findings are most consistent with a benign FNH in a non cirrhotic liver. There is no washout on delayed postcontrast sequences.Simple cyst in the right lobe of the liver. The gallbladder is filled with numerous gallstones without evidence of acute cholecystitis. No intra hepatic biliary ductal dilation is identified. There is dilation of the common duct measuring up to 9 mm in diameter. Note is made of numerous common duct stones measuring up to 3 mm in diameter, which appear similar to the prior study performed at an outside hospital.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Note is made of a 10.0 cm simple cyst in the interpolar region of the left kidney.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.4.8-cm mass in the left lobe of the liver with imaging characteristics most consistent with an benign FNH, as detailed above.2.Choledocholithiasis with slight dilation of the common bile duct.3.Innumerable gallstones without evidence of acute cholecystitis.