72-year-old man with history of acute cholecystitis status post cholecystostomy 9/27, continued increase in bilirubinemia. ABDOMEN:LIVER, BILIARY TRACT: There is a subcentimeter cyst in segment 4, otherwise no focal hepatic lesion. The liver is otherwise normal in signal and morphology.Patient is status post cholecystostomy with decompressed gallbladder. The gallbladder wall still thickened and edematous measuring up to 1 cm. There is no intra or extrahepatic biliary ductal dilatation. The ducts are smooth without intraluminal filling defect or evidence of extrinsic compression.SPLEEN: Multiple round mildly T1 hyperintense, T2 isointense lesions with mild enhancement compatible with known history of lymphoma.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: The kidneys are normal. There is no hydronephrosis.RETROPERITONEUM, LYMPH NODES: No significant retroperitoneal lymphadenopathy.BOWEL, MESENTERY: The partially visualized small bowel and colon appear normal.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Bilateral pleural effusions.
1.Cholecystostomy with collapsed but edematous gallbladder compatible with decompressed acute cholecystitis.2.No intra or extrahepatic biliary ductal dilatation, intraluminal filling defect, or evidence of extrinsic compression of the bile duct.3.Splenic lymphomatous lesions, previously demonstrated on imaging.