Male 68 years old Reason: 68 yo M hx of SBO 2/2 to adhesive disease and alcoholic liver cirrhosis now w/ persistent elevation in LFT's, U/S with cholelithiasis, nondilated CBD, want to r/o possibility of CBD stones History: Abdominal distension and persistently elevated LFTs ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver. Cholelithiasis. No evidence of intra or extrahepatic biliary dilatation. No focal liver lesion suspicious for hepatocellular carcinoma.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Patient's known staghorn calculus is not well seen on MRI due to technical reasons. Minimally complex left renal cyst.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Again noted dilated small bowel loops, partially imaged compatible with patient's previous history of small bowel obstruction.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1. No evidence of intra-axial hepatic biliary dilatation. Cirrhotic liver. Cholelithiasis. Dilated small bowel loops.