 There is a large right pleural effusion, increased from the prior examination with associated compressive atelectasis, increased from the prior examination. No abnormal signal foci are evident within the right hemithorax to suggest splenosis. Trace left pleural effusion. The heart is normal in size.There is diffuse marked decreased signal on in-phase T1 imaging suggests chronic liver disease related to iron deposition. In addition, there is moderate heterogenous decreased on oppose-phase T1 imaging compatible with superimposed fatty infiltration. There is cholelithiasis without evidence of cholecystitis. The spleen is not identified status post splenectomy. There is a vena cava filter in place.There is no hydronephrosis.No significant lymphadenopathy is noted. The abdominal aorta is normal in course and caliber.
1.No abnormal signal foci within the right thoracic cavity to suggest splenosis.2.Increased right pleural effusion and associated compressive atelectasis which appear to correlate with abnormal foci radiotracer accumulation on recent heat damaged RBC scan.3.Diffuse abnormal hepatic signal correlating with chronic liver disease related to iron deposition and superimposed component of fatty infiltration.