The results from hubs Cat scan of last week
4.3 cm mass in the caudate lobe of the liver and also involving segment 4A of
the left lobe. There is associated dilatation of the left biliary radicals and
biliary radicles subtending the right lobe of the liver posterior segments. The
portal vein is compressed by this mass. I do not see any other liver lesions. No
definite metastatic disease elsewhere. However the adrenals are somewhat nodular
and there is trace ascites in the pelvis both of these findings are nonspecific.
This is certainly neoplastic in origin and either a high suspicion that this is
a Klatskin-type biliary tumor. Although the findings are nonspecific and
metastatic disease is certainly in the differential.
Further workup should include a formal CT of the chest. Tissue diagnosis could
be obtained by CT guidance. At some point a PET CT may be warranted.
4.3 cm mass in the caudate lobe of the liver and also involving segment 4A of
the left lobe. There is associated dilatation of the left biliary radicals and
biliary radicles subtending the right lobe of the liver posterior segments. The
portal vein is compressed by this mass. I do not see any other liver lesions. No
definite metastatic disease elsewhere. However the adrenals are somewhat nodular
and there is trace ascites in the pelvis both of these findings are nonspecific.
This is certainly neoplastic in origin and either a high suspicion that this is
a Klatskin-type biliary tumor. Although the findings are nonspecific and
metastatic disease is certainly in the differential.
Further workup should include a formal CT of the chest. Tissue diagnosis could
be obtained by CT guidance. At some point a PET CT may be warranted.




