History of metastatic gallbladder cancer with rising bilirubin, jaundice and ascites. Evaluate for intraductal obstruction. ABDOMEN:LIVER, BILIARY TRACT: T2-weighted moderately hyperintense liver masses extending from the gallbladder fossa and involving the right hepatic lobe. Tumor/lymphadenopathy extends through the porta hepatis. These findings have progressed from the prior study. There is severe narrowing at Klatskin's point (series 501/27) and decompression of the common hepatic and common bile duct. This results in severe intrahepatic biliary ductal dilatation. The dominant lesion measures approximately 6.0 x 5.2 cm (series 501/26) at the junction of the anterior and posterior segment.Large gallstone in a decompressed gallbladder. SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Mild right-sided hydroureteronephrosis to the level of the pelvic mass likely related to mass effect, increased from the prior study.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: The bowel is normal in caliber. Large volume ascites. The large heterogeneous pelvic mass with central cystic component is partially evaluated and is best seen on the coronal images. It measures approximately 12.2 x 11.7 cm (series 401/12).BONES, SOFT TISSUES: Anasarca.OTHER: Large bilateral pleural effusions with adjacent consolidation/atelectasis.
1.Findings compatible with gallbladder carcinoma invading the hepatic parenchyma with tumor/lymphadenopathy infiltrating the porta hepatis resulting in severe intrahepatic biliary ductal dilatation centered about Klatskin's point.2.Large volume ascites and bilateral pleural effusions.3.Pelvic mass is partially imaged.