Female; 31 years old. Reason: Eval hepatic lesions: RUQ pain worse with movement, recent chole @ OSH noted liver ahderent to peritoneal cavity as time of procedure. History: abdominal pain ABDOMEN:LIVER, BILIARY TRACT: In the lateral aspect of segment 8, there is focal area of capsular retraction with underlying geographic, wedge-shaped area of T2 hyperintensity demonstrating delayed contrast enhancement and measuring up to 3.9 x 2.3 cm (series 11/31). Trace adjacent perihepatic ascites.In the lateral aspect of segment 6, there is smaller but similar-appearing lesion (series 11/53). Trace adjacent perihepatic ascites.In segment 2, there is a round focus of arterial hyperenhancement measuring 1.3 x 1.6 cm without corresponding abnormality on T2-weighted sequences or delayed images, most likely due to transient hepatic arterial differences (series 10/25).Status post cholecystectomy. No biliary ductal dilation.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: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Prominent to mildly enlarged right pericardial lymph nodes measuring up to 1.3 x 0.7 cm (series 10/13).
1. Segment 8 and segment 6 focal areas of capsular retraction with underlying signal and enhancement changes as detailed above. These findings are nonspecific, and differential considerations include mass lesions such as hemangioendotheliomas versus fibrosis/scarring from prior infection or inflammation. Ultrasound or CT-guided biopsy could be performed as clinically indicated.2. Nonspecific prominent to mildly enlarged right pericardial lymph nodes.