Conversation: The conversation between human and AI assistant.
[|Human|] what to do when a patient report is like this-----  - MULTIPLE ROUNDED VARIABLY SIZED TYPICAL TARGET LESIONS,SHOWING CENTRAL   NECROSIS AND PERIPHERAL RING ENHANCEMENT ARE SEEN SCATTERED IN THE LIVER.   - A CLUSTER OF NECROTIC LYMPH NODES IS SEEN IN THE PORTA HEPATIS AND THE   PRE -CAVAL SPACE,COMPRESSING AND DISPLACING THE MAIN PORTAL VEIN.   - IMPRE SSION-IN THE K/C/O CA GB,THERE ARE MULTIPLE HEPATIC METASTASIS   AND NECROTIC METASTATIC APENOPATHY.
[|AI|]  Hi, Thanks for writing in. The features detailed above indicate gall bladder cancer which is infiltrating in to the right lobe of liver. In this situation, the cancer cells have destroyed the gall bladder and have spread in to the liver parenchymal. There are also a cluster of lymph nodes in the port hepatic, the region where the gall bladder is attached to the bile duct. The cancer is in stage 4 and is showing features of advanced disease. Surgery is not possible in this situation. The available treatment for this patient is chemotherapy to reduce the progression of disease and pain relief to give comfort. Please keep the patient on healthy diet and adequate water and fluids to avoid deny Chat Doctor.  The survival of such patients is about 6 months to 2 years with good treatment and care. Please do not worry.