Reason: 60F with unexplained elevated Alk Phos (500s) > AST/ALT (300-400s), MGM died of non-EtOH cirrhosis of unclear etiology, ultrasound unremarkable, asymptomatic, ?stone, ?biliary pathology History: 60F with unexplained elevated Alk Phos (500s) > AST/ALT (300-400s), MGM died of non-EtOH cirrhosis of unclear etiology, ultrasound unremarkable, asymptomatic, ?stone, ?biliary pathology ABDOMEN:LIVER, BILIARY TRACT: Noncirrhotic liver morphology. No focal hepatic lesions. Common bile duct appears normal.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral renal T2 hyperintensities, likely cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Ill-defined T2 hypointense lesions within the pelvis seen on the coronal view may represent uterine fibroids or adenomyomas
Normal appearing liver and biliary system without findings to account for patients elevated alkaline phosphatase.