49-year-old male with intermittent abdominal pain status post second renal transplant in November 2015. Patient now with persistent abdominal pain presents for evaluation of biliary etiology. Limited examination given that the patient was claustrophobic during the examination.ABDOMEN:LIVER, BILIARY TRACT: No intra or extrahepatic biliary ductal dilatation. Gallbladder is distended measuring up to 5.7 cm. Gallbladder sludge with gallbladder wall thickening and evidence of restricted diffusion. SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: Adrenal glands are normal in size and morphology bilaterally.KIDNEYS, URETERS: Atrophic native kidneys with numerous T2 hyperintense lesions most likely cysts; however, these are incompletely evaluated without contrast enhancement.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality.BONES, SOFT TISSUES: Incompletely visualized large retroperitoneal collections with intermediate T2 signal. The retroperitoneal collection measures up to 7 cm. The more lateral fluid collection measures up to 5.6 cm. Both collections demonstrate diffusion restriction but are incompletely evaluated on this limited examination.OTHER: No significant abnormality noted.
Limited examination given patient claustrophobia and lack of contrast enhancement.1.Findings concerning for acute gallbladder infection.2.Incompletely visualized and incompletely characterized left retroperitoneal and iliac fossa fluid collections; these demonstrate restricted diffusion and raise suspicion for abscesses.Findings relayed to Dr. Concordia over the phone at approximately 10:08 AM.