41 years, Female, Reason: Rule out biliary obstruction History: elevated bilirubin, hepatomegaly, fever, abdominal pain. ABDOMEN: Please note that there is significant artifact from Dobbhoff tube tip within the duodenum.LUNG BASES: Small bilateral pleural effusions, new from the prior CT.LIVER, BILIARY TRACT: Mild hepatomegaly. Gallbladder is mildly distended with adjacent fluid but no wall thickening or stones.Common bile duct is normal in caliber measuring 4 mm. No intrahepatic biliary ductal dilatation. No choledocholithiasis.SPLEEN: No significant abnormality noted.PANCREAS: Small cystic foci adjacent to the main pancreatic duct within the head of the pancreas (401/12) and body of the pancreas (701/61) appear to communicate with the main pancreatic duct and likely represent small side branch IPMN's.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Small broad-based fat containing umbilical hernia.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Likely Tarlov cyst partially visualized. Mild scattered ascites. Anasarca.
1.No evidence of biliary obstruction.2.Two small side branch IPMN's.3.Small bilateral pleural effusions and anasarca.