Pancreas carcinoma with right upper quadrant pain and elevated bilirubin LIVER: Extensive central hepatic mass lesion with peripheral satellite lesions again noted.GALLBLADDER, BILIARY TRACT: Thickened gallbladder wall with internal stones and sludge again noted and unchanged. Positive Murphy's sign. No worsening ductal dilatationPANCREAS: Not visualized due to overlying gas.
Large central hepatic mass lesion with peripheral hepatic satellite lesions again noted. Gallbladder wall thickening with internal stones and sludge present. No worsening ductal dilatation. While there is a positive Murphy's sign, this is difficult to interpret given the extent of adjacent tumor; however acute inflammation of the gallbladder cannot be excluded.