Reason: 49F with chronic abdominal pain without significant systemic symptoms abnormal ultrasound c/f gallbladder malignancy and ?hemangioma, ?cancer, ?cause of pain ABDOMEN:LIVER, BILIARY TRACT: Large gallstone measuring 2.4 x 1.9 cm. Multiple enhancing soft tissue polyps in the gallbladder, radiology and significance unknown, but malignancy cannot be excluded (series 4 image 26). Largest nodularity measures 1.5 x 1.1 cm (series 14 image 135). Common bile but measures 8mm.Segment 4 hepatic dome lesion enhances heterogeneously without washout measuring 3.3 x 2.8 cm (series 10 image 7). This lesion restricts on diffusion but there is no intralesional fat. Differential diagnoses include FNH or adenoma, but malignancy cannot be excluded.Segment 8 subcentimeter T2 hyperintense lesion is compatible with hemangioma.SPLEEN: Splenule noted inferior to the spleen.PANCREAS: Pancreatic parenchyma is slightly atrophic.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.Multiple soft tissue polyps in the gallbladder, etiology and significance unknown, malignancy cannot be excluded.2.Heterogeneously enhancing segment 4 lesion without washout. Differential diagnoses include FNH or adenoma, but malignancy cannot be excluded.3.Cholelithiasis, including 2.4 cm gallstone.