73-year-old male with intrahepatic bile duct carcinoma ABDOMEN:LIVER, BILIARY TRACT: Status post left hepatectomy and portoenterostomy. Percutaneous biliary drain is noted. A bile duct stent is noted. Mild to moderate intrahepatic biliary ductal dilatation converges to the level of the stent. No mass is evident. Susceptibility defect from a metallic clip in segment 5/6. Status post cholecystectomy.The vasculature is patent. Enhancing mesenteric nodule measuring 7 mm along the right abdominal wall.SPLEEN: No significant abnormality noted.PANCREAS: Pancreaticojejunostomy. The main pancreatic duct is normal in caliber.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral renal cysts are unchanged. No hydronephrosis.RETROPERITONEUM, LYMPH NODES: Mildly prominent right cardiophrenic lymph nodes. Scattered subcentimeter peripancreatic/porta hepatis lymph nodes.BOWEL, MESENTERY: Small bowel caliber is within normal limits without evidence of obstruction. The appendix is well visualized and within normal limits.BONES, SOFT TISSUES: Midline ventral wall defect with fluid signal in the subcutaneous tissue, likely post surgical.OTHER: No significant abnormality noted.
1.Mild to moderate intrahepatic biliary ductal dilatation converging to the level of the stent. No mass is evident. 2.Enhancing mesenteric nodule measuring 7 mm along the right abdominal wall. Findings may represent a lymph node although mesenteric carcinomatosis cannot be entirely excluded. Attention on follow-up imaging is recommended. 