Abdominal pain, transaminitis and hyperbilirubinemia, evaluate for stone or obstruction Submitted M.R.C.P. images markedly suboptimal.ABDOMEN:LIVER, BILIARY TRACT: Prominent liver, measuring 19 cm in craniocaudal dimension. Tiny nonenhancing right hepatic foci, most likely cysts. No intrahepatic or extrahepatic biliary duct dilatation. Patent portal veins, splenic vein and SMV. Mildly prominent gallbladder, measuring 3.5 cm, trace pericholecystic fluid. No intraluminal signal void to suggest underlying cholelithiasis. No significant gallbladder distention or wall thickening.SPLEEN: Splenomegaly, measures 18 cm in craniocaudal dimension. Splenules.PANCREAS: Intrinsic T1 signal of pancreatic body and tail minimally decreased compared to remainder of pancreas, nonspecific. Nondilated pancreatic duct, no adjacent inflammation seen. Homogeneous enhancement of pancreas. ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Renal T2 hyperintense foci, most likely cysts. Trace perinephric edema. RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Mildly prominent mesenteric lymph nodes around level of root, measuring up to 10 mm, mild mesenteric fat haziness, may be seen in setting of mild mesenteric adenitis. BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Anasarca.
1. Hepatosplenomegaly. No biliary duct dilatation. 2. Mildly prominent gallbladder, measuring 3.5 cm, trace pericholecystic fluid. No intraluminal signal void to suggest underlying cholelithiasis. No additional secondary signs of acute cholecystitis, no significant gallbladder distention or wall thickening.3. Mildly prominent mesenteric lymph nodes around level of root, measuring up to 10 mm with mesenteric fat haziness, may be seen in setting of mild mesenteric adenitis. 