Male 55 years old Reason: R/o CBD stones History: GB stones, elevated LFT and continued abd pain. Hx of pancreatitis ABDOMEN:LIVER, BILIARY TRACT: Liver is normal in morphology. There is diffuse fatty infiltration of the hepatic parenchyma. No suspicious hepatic lesions. Hepatic and portal veins are patent.Gallbladder wall is thickened without pericholecystic fluid. There are multiple stones within the gallbladder lumen and possibly within the cystic duct. The common bile duct, common hepatic duct and intrahepatic bile ducts are normal in caliber. No choledocholithiasis is evident.There is hyperemia in segment 5 of the liver near the gallbladder fossa.SPLEEN: Pancreas is normal in morphology. No evident interstitial or peripancreatic fluid.Duct is normal in caliber and morphology.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Multiple small mesenteric pericolonic lymph nodes.BOWEL, MESENTERY: Nonspecific mild hyperemia of the colon.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Cholelithiasis with gallbladder wall thickening and mild gallbladder distention. Imaging features most suggestive of acute on chronic cholecystitis.2.No evidence of choledocholithiasis or acute pancreatitis.3.Fatty infiltration of the liver.4.Findings suspicious for a nonspecific colitis.