Male 72 years old Reason: 72-year-old male with PSC patient currently for HCC or cholangio, strictures, etc History: Ulcerative colitis with PSC ABDOMEN:LIVER, BILIARY TRACT: Stable to slight improvement in the biliary ductal dilatation. A percutaneous right hepatic biliary drain terminates within the jejunum. Status post hepaticojejunostomy. The common hepatic duct is not visualized. No suspicious hepatic lesion. The contrast bolus is suboptimal as portion of it was extravasated.SPLEEN: No significant abnormality noted.PANCREAS: Small T2 hyperintense focus in the uncinate process of the pancreas likely represent small side branch type IPMN.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Possible small cysts in both kidneys. No hydronephrosis.RETROPERITONEUM, LYMPH NODES: Multiple perihepatic and peripancreatic lymph nodes.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Stable to slight decrease in intrahepatic biliary ductal dilatation.2.No suspicious hepatic lesions.Contrast extravasation description:Supervising radiologist: Stephanie McCannMinor or major extravasation: MinorContrast type:20 cc of MultiHance were administered. 20ccAmount extravasated: approximately 20 ccLocation of extravasation: Right antecubital fossaSigns and symptoms: Swelling and pain, peripheral pulses were intact as well as tract. No paresthesias.Treatment given: Warm packDischarge instructions given: Yes