Cholangiocarcinoma status post resection and chemotherapy. Possible recurrence in 2014 status post repeat chemotherapy. ABDOMEN:LIVER, BILIARY TRACT: Postsurgical changes from a left hepatectomy and biliary enteric anastomosis. There is mild intrahepatic biliary ductal dilatation to the level of the anastomosis, appearing similar to the prior study. No discrete mass lesion is identified. The subtle peribiliary and ductal wall enhancement seen on the 8/6/2014 MR study is not evident on today's study suggesting an infectious/inflammatory in etiology.The portal vein appears patent.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral simple and minimally complex renal cysts, unchanged. No hydronephrosis or suspicious renal lesion.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Stable ductal dilatation in the remnant right hepatic lobe appearing similar to the prior study to the level of the biliary enteric anastomosis without a discrete mass lesion.