Reason: elevated LFT's with cholelithiasis ABDOMEN:LUNG BASES: Trace pleural effusions. LIVER, BILIARY TRACT:The liver demonstrates normal parenchymal signal intensity and enhancement. No suspicious hepatic lesions are identified. Area of decreased early enhancement along the interlobar fissure compatible with normal perfusional variation. Trace periportal edema. The hepatic vasculature appears patent. There is a trace amount of perihepatic ascites.Cholelithiasis including a large gallstone measuring up to 2.6 cm. There is mild gallbladder wall thickening as well as a small amount of pericholecystic fluid. There is mildly increased enhancement of the gallbladder mucosa. The intra and extrahepatic biliary ducts are not dilated. There is mild thickening and increased enhancement of the common bile duct. The common bile duct measures up to 6 mm. No choledocholithiasis is identified.SPLEEN: The spleen is mildly enlarged. PANCREAS: The pancreatic parenchyma demonstrates normal signal intensity and enhancement without suspicious focal lesions. The pancreatic duct is nondilated. There is no significant peripancreatic edema.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: There is trace edema within the subcutaneous soft tissues of the back.OTHER: No significant abnormality noted.
Findings compatible with acute cholecystitis without evidence of associated choledocholithiasis. Mild mucosal thickening of the common bile duct may reflect cholangitis.