History of HCV, cirrhosis, and cholangiocarcinoma. No ABDOMEN:LIVER, BILIARY TRACT: Postsurgical changes from right segmentectomy are again present. The large fluid collection in the right lobe of the liver (series 8, image 12) measures 6.2 x 10.9 cm, not significantly changed. Additional small loculated fluid collections along the right hepatic lobe (series 8, image 18) have also not significantly changed. The previously described and previously enhancing lesion along the lateral margin of the right hepatic lobe subjacent to the aforementioned fluid collection again demonstrates intermediate T2 signal and restricted diffusion. The lesion measures approximately 1.2 x 3.7 cm on T2-weighted images (series 8, image 12) previously 1.2 x 4.1 cm when similar measurement technique used. No new lesions are identified.There is no biliary ductal dilatation.SPLEEN: Cystic lesion in spleen is unchanged.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.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.Evaluation is somewhat limited without intravenous contrast. 2.Within this limitation, lesion along the hepatic resection margin which possibly represents a marginal recurrence has not significantly changed in size. No new lesions are identified.