Female 53 years old Reason: s/p hepatic resection now with ?fluid collection and elevated bili History: elevated bili ABDOMEN:LIVER, BILIARY TRACT: Postsurgical changes from resection of the left hepatic lobe. There is a fluid collection measuring 6.5 x 5.7 cm adjacent to the surgical resection margin. The collection has some internal debris.There is some mild intrahepatic biliary ductal dilatation on the right. Common bile duct measures 8 mm.No suspicious lesions in the right hepatic lobe.Status post cholecystectomy.SPLEEN: Spleen is enlarged.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Hypodense right renal lesion likely represents a proteinaceous cyst.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: There is a left lower lobe pulmonary nodule partially imaged.
1.6.5 cm collection adjacent to the surgical resection margin. Fissure considerations include postsurgical collection vs. biloma. On the delayed imaging, no Eovist contrast is noted within the lesion reducing the likelihood this is a biloma.2.Left lower lobe pulmonary nodule follow-up is recommended.