Female; 67 years old. Reason: History of ovarian CA on Gemcitubine presenting from OSH with acute liver failure and AKI, no known history of liver/renal disease. Please evaluate for obstruction and/or underlying biliary etiology. ABDOMEN: Lack of intravenous contrast limits sensitivity for solid organ pathology. Limited MRCP images due to large pleural effusions, and large amount of ascites, and body wall anasarcaLIVER, BILIARY TRACT: No focal liver lesions are apparent on T2 weighted images. No biliary ductal dilation. Status post cholecystectomy.SPLEEN: Mild splenomegaly.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Left renal cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Large pleural effusions, and large amount of ascites, and body wall anasarca.
1. No focal liver lesions or biliary ductal dilation.2. Large pleural effusions, and large amount of ascites, and body wall anasarca.