69-year-old female with cirrhosis. Evaluate for hepatocellular carcinoma. ABDOMEN: Examination is limited by lack of contrast enhancement.LIVER, BILIARY TRACT: Cirrhotic morphology of the liver with nodular surface contour. No focal hepatic lesions are identified. Small volume perihepatic ascites is unchanged.Patient is status post cholecystectomy. No significant interval change in the common bile duct dilatation measuring up to 14 mm. There is smooth distal tapering of the common bile duct near the ampulla which may represent a benign structure, measures approximately 7 mm in length. No overt stone or mass is evident. SPLEEN: No significant abnormality noted.PANCREAS: A tiny cystic lesion at the posterior aspect of the uncinate processes most likely a sidebranch IPMN is unchanged. No pancreatic ductal dilatation.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: There is partially imaged nonspecific swirling of the mesenteric vessels as well as mesenteric stranding on this nondedicated examination. Additionally, there is unchanged right posterior peritoneal reflection thickeningBONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Examination limited by noncontrast evaluation. Cirrhotic liver morphology without focal hepatic lesion.2.Stable dilatation of the common bile duct, which may be sequela of cholecystectomy. However, there is a questionable short segment stenosis of the common bile duct near the ampulla, possibly due to benign stricture.3.Nonspecific partially imaged mesenteric vasculature swirling and mesenteric stranding. 