81-year-old male who was found to have 8 cm hepatic dome lesion on AAA surveillance examination. Evaluate hepatic lesion. ABDOMEN:LIVER, BILIARY TRACT: There is a T1 hypointense, T2 heterogeneous isointense/hyperintense segment 7 and 8 hepatic lesion measuring approximately 11 x 8.3 cm (series 6, image 7) with satellite lesions. This lesion demonstrates heterogeneous delayed peripheral enhancement without evidence of washout. Mild dilatation of the intrahepatic biliary ducts.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Right renal cyst. RETROPERITONEUM, LYMPH NODES: Infrarenal abdominal aortic aneurysm at the level of the bifurcation with evidence of graft material; the aneurysmal sac measuring up to 4.1 cm in dimension (series 3, image 17). Mildly prominent aortocaval lymph nodes. Additionally, there is a enlarged portacaval lymph node measuring 2.3 x 1.3 cm (series 6, image 19).BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Segment 7 and 8 hepatic lesion with satellite nodules and associated mild biliary ductal dilatation as detailed above. Findings suspicious for cholangiocarcinoma.2.Prominent portacaval lymph node.3.Partially seen abdominal aortic aneurysm at the level of the bifurcation with the sac measuring up to 4.1 cm in dimension. Comparison to outside CT examination may be considered if clinically indicated.