History of transaminitis, cholestasis, and liver failure. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in signal and morphology. No focal parenchymal lesion. The portal vein, hepatic vein, and hepatic artery are patent.Prominent gallbladder wall thickening and edema. The gallbladder however is not distended and there is no enhancement on the postcontrast images. No cholelithiasis or choledocholithiasis. No intrahepatic or extrahepatic biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: Pancreas has normal signal and morphology. The main pancreatic duct is not dilated. The pancreatic duct joins the common bile duct at the major papilla.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: There is nonspecific fluid/edema within the retroperitoneum.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Diffuse soft tissue anasarca.OTHER: No significant abnormality noted.
1.Nondistended gallbladder with prominent gallbladder wall thickening suggestive of edema. There is no associated enhancement to indicate active inflammation. Appearance most likely reflects an edematous state given the patient's anasarca.2.No cholelithiasis, choledocholithiasis, or biliary ductal dilatation.