Male; 73 years old. Reason: 73yo w/ETOH cirrhosis, decompensated with tbili >25. Requesting MRCP for further eval History: jaundice Lack of intravenous contrast limits sensitivity for subtle organ pathology. Moderate motion artifact limits multiple sequences. Pleural effusions and ascites causing dielectric artifact limits multiple sequences. As a result of these artifacts, the examination is overall very limited.ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver morphology with nodular surface contour and widened fissures. Evaluation limited for focal hepatic lesions. Evaluation limited for biliary ductal dilation. Cholelithiasis. Nonspecific gallbladder wall thickening, which may be related to generalized ascites.SPLEEN: Splenomegaly.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral subcentimeter T2 bright renal lesions, most likely due to cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Mild body wall anasarca. Bilateral gynecomastia.OTHER: Very large right pleural effusion and small left pleural effusion. Large amount of abdominopelvic ascites.
1. Cirrhotic liver morphology with sequela of portal hypertension including splenomegaly and large amount of abdominopelvic ascites.2. Very large right pleural effusion.3. Very limited examination as detailed above, including for focal hepatic lesions and biliary ductal dilation. For future studies, consider thoracentesis and/or paracentesis before MRI.