UGIB, dilated CBD ABDOMEN:Bilateral pleural effusions and left basilar consolidation/atelectasis.LIVER, BILIARY TRACT: T2 hyperintense focus in the left hepatic lobe compatible with a hemangioma. Additional scattered hepatic cysts. Perihepatic ascites. The hepatic and portal veins are patent. Intra and extrahepatic biliary ductal dilation. Common bile duct measures 11 mm with layering sludge and stones. The gallbladder is distended.SPLEEN: No significant abnormality noted.PANCREAS: The pancreatic duct is normal in caliber.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Status post gastrojejunostomy with nasojejunal catheter. Foci of susceptibility in the left upper quadrant reflect postoperative changes better evaluated on comparison CT. BONES, SOFT TISSUES: Orthopedic hardware in the spine.
1.Dilated CBD and choledocholithiasis as described above.2.Left upper quadrant postsurgical changes better evaluated on comparison CT.3.Bilateral small pleural effusions and left basilar consolidation / atelectasis.