75-year-old female with nausea and emesis with a previously noted biliary mass. Evaluate the mass. ABDOMEN:LUNG BASES: Stable right subpleural atelectasis with adjacent pleural thickening/small effusion, probably round atelectasis. Small left pleural effusion.LIVER, BILIARY TRACT: At the junction of segment 4A and segment IVb, again seen is intrahepatic periductal mild T2 hyperintensity (series 6, image 19) and diffusion restriction which is not measurable; however, this finding is unchanged from the previous examination. Intrahepatic biliary ductal dilatation has improved compared to the previous exam.No evidence of extrahepatic biliary ductal dilatation; the common bile duct tapers to the level of the ampulla without evidence of a stone, significant stricture, or lesion.SPLEEN: Splenomegaly persists.PANCREAS: Subcentimeter pancreatic head T2 hyperintense nonenhancing focus has slightly increased in size compared to the 2014 examination. This is favored to be side branch type IPMN. ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Subcentimeter scattered renal cysts. Mild perinephric fluid bilaterally.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Small hiatal hernia.BONES, SOFT TISSUES: Anasarca.OTHER: No significant abnormality noted.
1.Intrahepatic periductal mild T2 hyperintensity and diffusion restriction is not measurable; however, unchanged compared to the prior examination. Differential considerations include inflammatory sequelae related to patient's sarcoidosis.2.Persistent right basilar segmental consolidation/atelectasis.3.Anasarca.