Elevated serum bilirubin LIVER: Again noted is a large mass replacing most of the right lobe of the liver. The mass is very heterogeneous. Main portal vein is compressed by the mass but patent. There is small amount of perihepatic fluid. Common bile duct is not dilated. There is no intrahepatic biliary dilatation. Gallbladder was not definitely identified due to heterogeneous liver and large masses. Small amount of right-sided pleural effusion.BILIARY TRACT: No biliary dilatation. Gallbladder cannot be well differentiated from the surrounding large mass.PANCREAS: Not well visualized due to overlying bowel gas.SPLEEN: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. OTHER: No significant abnormalities noted.
Large heterogeneous liver mass. No definite biliary dilatation.