46-year-old female with elevated LFTs. Patient with widely metastatic cancer of unknown primary. Abdominal pain. LIVER: The liver measures 15.5 cm in length. No suspicious parenchymal lesions. The main portal vein demonstrates normal hepatopedal flow.BILIARY TRACT: No intra or extrahepatic biliary ductal dilatation. The gallbladder is collapsed, which limits evaluation for wall thickening. No intraluminal stones identified. The common bile duct measures 4.2 mm in diameter.PANCREAS: The visualized aspect of the pancreas is unremarkable. Incomplete visualization of the distal pancreatic body and tail due to overlying bowel gas.SPLEEN: The spleen measures 9.7 cm in length.RIGHT KIDNEY: The right kidney measures 11.2 cm in length. No hydronephrosis. OTHER: Bilateral pleural effusions. The left kidney measures 11.9 cm in length. Mild left-sided hydronephrosis, unchanged. The partially visualized (better characterized on the 11th/22/2016 MRI pelvis exam.
1. No suspicious hepatic lesions.2. Partially visualized uterine mass is better characterized on the 11/22/2016 MRI pelvis exam.3. Bilateral pleural effusions, unchanged.4. Mild left hydronephrosis, unchanged.