55-year-old male with history of cirrhosis and elevated bilirubin. Evaluate for obstruction. ABDOMEN: Lack of contrast enhancement, dielectric artifact, and suboptimal MRCP images limits evaluation.LIVER, BILIARY TRACT: Cirrhotic liver morphology with evidence of an umbilical vein. Incompletely evaluated left hepatic lobe subcentimeter T2 hyperintense focus.Within the aforementioned limitations, no evidence of intra or extrahepatic biliary ductal dilatation. The bladder wall is thickened, most likely secondary to the ascites. Cholelithiasis.SPLEEN: Splenomegaly.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Right T2 hyperintense renal focus, measuring up to 2 cm; findings most compatible with a cyst.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Large volume ascites.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Lack of contrast enhancement, dielectric artifact, and suboptimal MRCP images limits evaluation. Within this limitation, no evidence of biliary ductal dilatation. 2.Cirrhosis with large volume ascites. Draining ascites prior to MRI imaging decreases chance of dielectric artifact. 