Obstructive jaundice, evaluate bile duct obstruction ABDOMEN: LIVER, BILIARY TRACT: T2 hyperintense hepatic lesions consistent with metastases increasing in size and number. Dominant hilar mass measures 5.6 x 3.2 cm (series 701, image 21), previously 4.2 x 3.5 cm. Increasing and now severe bilobar intrahepatic biliary ductal dilation.SPLEEN: No significant abnormality noted.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.
1.Dominant obstructive hilar mass with increasing and now severe bilobar intrahepatic biliary ductal dilation.2.Hepatic metastases increasing in size and number.