Reason: eval post chole syndrome History: RUQ pain, N/V LUNG BASES: Trace bilateral pleural effusions. Cardiomegaly partially visualized.ABDOMEN: Examination limited by motion on multiple sequences.LIVER, BILIARY TRACT: Hepatomegaly with the liver measuring 22 cm in craniocaudal dimension. No focal hepatic lesion. Punctate hepatic cysts. Postsurgical changes of a cholecystectomy. The common bile duct measures 5 mm, likely postsurgical in etiology. No intrahepatic biliary ductal dilatation within the limits of this examination.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.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: No significant abnormality noted.OTHER: Mild ascites, not significantly changed.
1.Postsurgical changes of a cholecystectomy. Minimal extrahepatic biliary ductal dilatation, likely related to postsurgical etiology. No intrahepatic biliary ductal dilatation within the limits of this examination, which is suboptimal due to motion.2.Findings of mild fluid overload including cardiomegaly, pleural effusions, and ascites, unchanged.