Gallbladder nodularity seen on prior CT. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in morphology, size, signal intensity and enhancement without a suspicious lesion. Left hepatic lobe simple cyst is noted.The gallbladder may contain sludge. No gallstones are seen. There is a punctate cystic focus in the gallbladder body (series 501/28), likely focal adenomyomatosis. Also of note is a persistent narrowing/thickening at the mid body of the gallbladder which has been present dating back to 9/11/2014. There is no discrete differential enhancement of this region to suggest an underlying lesion.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Severe chronic hydroureteronephrosis of the left kidney with marked cortical thinning.Mild right hydroureteronephrosis, unchanged.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Right lower quadrant urinary diversion is partially imaged. No evidence of obstruction or bowel inflammation.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Dating back to 9/11/2014 there has been persistent minimal thickening and narrowing of the mid body of the gallbladder without a discrete mass lesion evident. This may constitute sequela from prior and/or chronic inflammation. Chronic severe left-sided hydroureteronephrosis.