Jaundice, hepatomegaly, evaluate for obstruction Suboptimal study secondary to patient motion artifact. ABDOMEN:LIVER, BILIARY TRACT: Marked T2 hypointensity of the spleen and liver and diffuse signal dropout in liver suggested on inphase imaging when compared to opposed phase imaging, findings may be seen in setting of iron deposition disease. Liver measures 19 cm in craniocaudal dimension. No intrahepatic or extrahepatic biliary duct dilatation. Increasing moderate abdominopelvic ascites. Small fluid and fat stranding seen extending into region of Morison's pouch and around the gallbladder. Gallbladder mildly prominent, measuring up to 3 cm in transaxial plane. No intraluminal signal void seen to suggest underlying cholelithiasis. Mild asymmetric gallbladder wall prominence, measuring up to 3 mm, may be reactive in presence of ascites. Otherwise, no secondary signs of acute cholecystitis. SPLEEN: Splenomegaly, spleen measures 14.5 cm. Marked T2 hypointensity of the spleen and liver, may be seen in setting of hemosiderosis/iron deposition disease. PANCREAS: Mildly decreased intrinsic T1 signal of pancreas in portions of pancreatic head with possible minimal restricted diffusion, mild mesenteric fat haziness. Findings may be seen in setting of mild acute pancreatitis. Previously visualized sidebranch intraductal papillary mucinous neoplasms not as well seen on current study.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Mildly thickened small bowel, particularly jejunum, most likely reactive in setting of ascites.BONES, SOFT TISSUES, OTHER: Bilateral increasing moderate sized pleural effusions with underlying atelectasis. Diastases of rectus muscles and small fat containing umbilical hernia. Upper abdominal artifact, likely secondary to enteric tube
1. Suboptimal exam secondary to patient motion artifact and absence of IV contrast. 2. Hepatosplenomegaly. Marked T2 hypointensity of the spleen and liver, suggestive of iron deposition disease. Correlation with patient's clinical history advised.3. Mildly decreased intrinsic T1 signal of pancreas in portions of pancreatic head with possible minimal restricted diffusion, mild mesenteric fat haziness. Findings may be seen in setting of mild acute pancreatitis, correlation with patient's clinical history/laboratory values recommended. 4. Increasing moderate abdominopelvic ascites and pleural effusions.