Reason: elevated alkaline phosphatase History: as above ABDOMEN:LIVER, BILIARY TRACT: Status post cholecystectomy. No intrahepatic or extrahepatic biliary ductal dilatation. There is a lesion within the caudate seen only on the arterial phase measuring 1.3 x 0.8 cm (11/53) which is isointense on T2-weighted images.SPLEEN: Small splenule.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.No intra or extrahepatic biliary ductal dilatation.2.Enhancing lesion within the caudate seen only on the arterial phase. Differential diagnosis includes focal nodular hyperplasia, adenoma or a perfusional abnormality.