39-year-old female with history of right upper quadrant pain and elevated LFTs. ABDOMEN:LIVER, BILIARY TRACT: Cholelithiasis, gallbladder wall thickening and trace pericholecystic fluid compatible with acute cholecystitis in the absence of chronic liver disease, which can show similar findings without acute cholecystitis.. Mild intrahepatic biliary ductal prominence but without excessive dilation to suggest obstruction and the common bile duct measures 6 mm, within normal limits. There is a convex termination to the distal common bile duct on thin cut MRCP series (image 7 of series 9) , however no stones or filling defects are evident on the axial or other sequences and this is most likely a normal sphincter with spasm.1 cm hepatic dome lesion demonstrates discontinuous nodular enhancement on post contrast imaging and is compatible with a benign hemangioma. A similar appearing 6 mm lesion is also present in the periphery of segment 8. 8 mm segment 6 lesion does not demonstrate any appreciable enhancement and likely represents a simple cyst.SPLEEN: Splenomegaly.PANCREAS: The pancreas and pancreatic duct appears normal.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.Findings compatible with acute cholecystitis. No significant intra or extrahepatic biliary ductal dilation to suggest biliary obstruction.2.Splenomegaly.3.Benign hepatic lesions as above.