69-year-old male with asymptomatic biliary dilatation seen on HCC screening US. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver morphology with numerous punctate T2 hyperintense foci scattered throughout. Significant degree peribiliary cysts are noted adjacent to the fissure. The gallbladder is dilated with edematous wall which may be seen in hepatic patients. The common bile duct is dilated measuring up to 10 mm appearing similar to that seen on multiple prior examinations dating back to 5/23/2013, within normal limits for age.The portal veins and hepatic veins are patent.At least three arterial enhancing subcentimeter foci are seen in the right lobe of liver, segment 5/6, without definite washout.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Multiple T2 hyperintense cysts are noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Spinal fusion hardware in the lumbar spine is present.OTHER: No significant abnormality noted.
1.Significant degree peribiliary cysts noted adjacent to the fissure correlated with left sided biliary ductal dilation seen on prior ultrasound.2.At least 3 arterial enhancing subcentimeter foci in the right lobe of the liver without definite washout are nonspecific. Attention on subsequent imaging is suggested.