Elevated LFTs. Evaluate for obstruction. ABDOMEN:LUNG BASES: Cardiomegaly. Right mid lung atelectasis. Trace left pleural effusion.LIVER, BILIARY TRACT: Normal liver morphology and size. No intrahepatic or extrahepatic biliary ductal dilatation. Partially contracted gallbladder without gallstones or wall thickening or pericholecystic fluid.Right hepatic dome subcentimeter nonenhancing T2 weighted hyperintensity, likely a benign cyst. No focal suspicious lesion.SPLEEN: No significant abnormality noted.PANCREAS: Normal pancreatic parenchymal enhancement. Punctate 4 mm nonenhancing cystic lesion adjacent to the pancreatic duct at the pancreatic head, likely a side branch IPMN. No pancreatic ductal dilatation.ADRENAL GLANDS: Bilateral homogeneously enlargement of the adrenal glands measuring up to 4.4 x 2.4 cm on the left (series 14 102/357) and 3.9 cm x 2.0 cm on the right (image 352) demonstrating signal dropout on out of phase imaging and maintaining their morphology, compatible with adenomatous adrenal hypertrophy. KIDNEYS, URETERS: Symmetric perinephric fluid/stranding. Right renal interpolar 1.2 cm simple cyst.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Marked left greater than right lateral body wall subcutaneous edema.OTHER: No significant abnormality noted.
1.No biliary ductal dilatation as clinically questioned.2.Adenomatous adrenal hypertrophy.3.4 mm pancreatic head IPMN.