37-year-old female with acute cholecystitis, elevated T bilirubin, mention of common bile duct stone on outside hospital imaging ABDOMEN:LIVER, BILIARY TRACT: Scattered subcentimeter T2 hyperintensities throughout the liver likely benign. No suspicious liver lesions. Minimal intrahepatic biliary ductal dilatation. The common bile duct measures up to 7 mm in diameter. No choledocholithiasis is evident. Cholelithiasis. Cholecystostomy tube is present. Gallbladder wall enhancement and thickening compatible with known diagnosis of acute cholecystitis.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: IVC filter is present. BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Lumbar stabilization hardware and associated susceptibility artifact is present.OTHER: Consolidation/atelectasis in bilateral lung bases.
1. Cholelithiasis and gallbladder wall enhancement and thickening compatible with known diagnosis of acute cholecystitis status post cholecystostomy tube.2. No evidence of choledocholithiasis.3. Consolidation/atelectasis possibly from aspiration in bilateral lung bases.