Female 21 years old with acute liver failure due to Tylenol overdose. AST/ALT improving but the bilirubin is elevating and she has abdominal pain. ABDOMEN:LIVER, BILIARY TRACT: The liver is smooth in contour. There is heterogeneous perfusion of the liver parenchyma which is non-specific. Mild periportal edema. No focal liver lesion is identified. The gallbladder is collapsed. There is no intra or extrahepatic biliary ductal dilatation. There is trace perihepatic fluid.The hepatic vasculature is patent.SPLEEN: No significant abnormality noted.PANCREAS: The pancreas enhances homogeneously. There is no pancreatic ductal dilatation.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Heterogeneous hepatic perfusion and mild periportal edema can be seen in the setting of acute hepatitis.2.No biliary dilatation.