MALIGNANT CELL/CYTOLOGY:Ascitic fluid, occasional atypical cells seen, suspicious of malignancy.
USG guided FNAC of
liver lesion, shows necrosis with few atypical cells, highly suspicious for poorly differentiated malignancy. Possibilities are 1. Round cell tumor. 2. Poorly differentiated carcinoma.
Triple phase CT scan: Heterogeneously enhancing mass in GB fossa completely replacing the gall bladder with multiple liver metastasis and metastatic retroperitoneal, periportal lymph nodes with loss of fat plane to adjacent pancreatic head. Suggested histopathological correlation.Mild ascites.