Primary sclerosing cholangitis with cholangiocarcinoma status post Roux-en-Y liver resection LIMITED ABDOMENLIVER: Status post resection of right lobe of the liver. No obvious intrahepatic mass appreciated. 3.6 x 2.3 cm loculated fluid collection adjacent to the resection site without increased vascularity. Similar loculated collection measuring 2.6 x 1.6 cm within the gallbladder fossa.BILIARY TRACT: No significant abnormalities noted.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted. 12.1 cm in length RIGHT KIDNEY: No significant abnormalities noted. 13.1 cm in lengthOTHER: Left kidney 15.8 cm in length. No ascites.
Status post resection of right lobe of the liver. Loculated collections adjacent to the resection site and gallbladder fossa. While these may represent benign postoperative collections, CT would be helpful for further characterization. No intrahepatic mass or ductal dilatation.Hepatic vessels patent; however the main portal vein now demonstrates hepatofugal flow. No ascites.