Cholangiocarcinoma status post resection in 2012. Hepatitis C cirrhosis. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver morphology with enlarged left lobe and nodular contour. No suspicious lesion identified. Status post cholecystectomy.Dilated common bile duct, up to 11 mm, slightly more prominent than prior. However, the contour is smooth without mural nodularity or obstructive lesion, thus likely postsurgical. No intrahepatic biliary ductal dilation.SPLEEN: Status post splenectomy.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Subcentimeter T2 hyperintense focus in the right kidney, too small to characterize, though likely representing a cyst. No significant abnormality noted in the left kidney.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: A juxtaphrenic lymph node anterior to the liver is slightly enlarged compared to 2009. Given the absence of hypermetabolic activity in this lymph node on the prior PET, this is likely secondary to cirrhosis. Additional small perihepatic lymph nodes noted.
Cirrhotic liver morphology without suspicious lesion identified.