38 year old female with metastatic ovarian cancer now with rising LFT's and bilirubin, rule out biliary obstruction or need for stent. Epigastric pain, rising LFTs, and jaundice. Limited examination secondary to extensive motion artifact. ABDOMEN:LIVER, BILIARY TRACT: There is intrahepatic biliary ductal dilation extending to the level of Klatskin's point. There is an associated large perihepatic mass which encases the portal vein at the level of Klatskin's point, measuring approximately 6.9 x 5.6 cm, consistent with the patient's known history of metastatic ovarian carcinoma. There are multiple foci of increased signal abnormality in the liver with associated peripheral enhancement which are also suspicious for metastatic disease. SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: IVC filter in place. There is extensive retroperitoneal lymphadenopathy.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.There is a large perihepatic mass which encases the portal vein at the level of Klatskin's point, consistent with the stated history of metastatic disease. There is associated moderate intrahepatic biliary ductal dilation. 2.There is retroperitoneal lymphadenopathy and hepatic lesions consistent with metastatic disease. 