65-year-old female with transaminitis. ABDOMEN:LIVER, BILIARY TRACT: Distended gallbladder containing numerous stones with minimal wall thickening and trace pericholecystic fluid.The distal common bile duct measures 6.6 mm in diameter and is at the upper limits of normal in diameter. No intra or extra hepatic biliary ductal dilatation, and no filling defects identified. Hepatic contour with a subtle nodular appearance and mild widening of the fissures. No evidence for hepatic steatosis. No areas of restricted diffusion.SPLEEN: Borderline splenomegaly measuring 13 cm in craniocaudal length.PANCREAS: Parenchymal atrophy. No pancreatic ductal dilatation.ADRENAL GLANDS: A left adrenal nodule measures 1.7 cm in transverse diameter, and there is no change in size compared to the 1/15/2015 CT exam. No evidence of signal dropout on the out of phase sequence. Normal right adrenal gland.KIDNEYS, URETERS: Bilateral nephrostomy catheters in place. No hydronephrosis.RETROPERITONEUM, LYMPH NODES: Stable small left retroperitoneal lymph nodes.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Partially visualized L4 pedicle screws.OTHER: No significant abnormality noted.
1.Distended gallbladder containing stones, borderline wall thickening, and trace pericholecystic fluid. Early acute cholecystitis cannot be excluded.2.MR findings suggestive of chronic liver disease. No hepatic steatosis.3.Indeterminate left adrenal nodule, however size stability is noted since the 1/5/2015 CT exam.