Reason: Evaluate for common bile duct blockage, see HIDA scan 12/6 History: abdominal pain, N/V Postcontrast images mildly limited by patient motion and acquisition timing.ABDOMEN:LIVER, BILIARY TRACT: Liver demonstrates loss of signal on out of phase images compatible with hepatic steatosis. No suspicious focal lesions, though evaluation mildly mildly limited by timing of post contrast sequences.Cholelithiasis including stones in the gallbladder neck. Diffuse gallbladder wall thickening compatible with acute cholecystitis. No associated intra or extrahepatic biliary ductal dilatation. No choledocholithiasis is seen.SPLEEN: No significant abnormality noted.PANCREAS: Background parenchymal signal intensity within normal limits. No pancreatic duct dilation.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Right lower pole subcentimeter cyst. No hydronephrosis. Kidneys enhance symmetrically.RETROPERITONEUM, LYMPH NODES: On the inferior-most images, there is mild ectasia of the infrarenal aorta measuring up to 2.6 cm with associated crescentic area of intermediate signal along the wall most likely representing mural thrombus on this nondedicated study. The aorta measures up to 2.6 cm in diameter at this level.BOWEL, MESENTERY: Mild colonic diverticulosis.BONES, SOFT TISSUES: Degenerative changes affect the spine.OTHER: No significant abnormality noted.
1.Findings compatible with acute cholecystitis without evidence of biliary ductal dilatation or choledocholithiasis.2.Hepatic steatosis.3.Incompletely imaged mild infrarenal aortic ectasia with presumed associated mural thrombus.