Male 65 years old Reason: restaging liver disease - poorly differentiated carcinoma, behaving like neuroendocrine. no treatment since Feb 2014 (RT) last chemo 2/2013-4/2013 ABDOMEN:LIVER, BILIARY TRACT: Confluent large hepatic mass in the region of the hilum consistent with the patient's history of cholangiocarcinoma. This has increased in size compared to prior study. It measures approximately 8.2 x 6.5 cm ( series 16, image 118), previously 6.3 x 5.2 cm.Two peripherally enhancing reference lesions, which may represent necrotic components are stable/mildly increased compared to prior study.The hepatic dome lesion measures 3.1 x 1.9 cm (series 16, image 109), previously 3.0 x 2.3 cm.The segment 4 lesion measures 3.1 x 2.7 cm (series 16, image 119), previously 3.1 x 2.9 cm.The mass invades the hepatic veins and there is hepatic vein occlusion. The hepatic arteries and portal veins are patent. No biliary dilatation.Diffuse hepatic steatosis. Cholelithiasis.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Renal cysts are unchanged.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.
Increase in size in large confluent hepatic mass, consistent with patient's known poorly differentiated carcinoma. 