57-year-old man with history of alcohol use and hyperbilirubinemia, please evaluate for biliary obstruction. ABDOMEN:LIVER, BILIARY TRACT: The liver is enlarged measuring approximately 23.5 cm in length. No suspicious focal hepatic lesion identified.No gross intra or extrahepatic biliary ductal dilatation. Small amount of pericholecystic fluid nonspecific in the setting of ascites. The gallbladder is distended.SPLEEN: No significant abnormality noted.PANCREAS: The pancreas appears atrophic. There is no gross pancreatic ductal dilatation.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: The right kidney appears normal. Left kidney not present.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Moderate amount of ascites, slightly decreased from prior.
1.Markedly limited evaluation due to patient's inability to tolerate the study.2.No gross biliary ductal dilatation.3.Hepatomegaly with ascites.