56-year-old male with history of alcoholism, hematemesis, leukocytosis, and equivocal ultrasound for cholecystitis. Evaluate. ABDOMEN:LUNG BASES: Small left and moderate right pleural effusions with overlying subsegmental right and left lower lobe atelectasis.LIVER, BILIARY TRACT: Liver measures 21 cm in length. Gallbladder is collapsed with cholelithiasis. No intra hepatic ductal dilatation. There is mild prominence of the common bile duct measuring up to 6 mm.SPLEEN: No significant abnormality noted.PANCREAS: Mild prominence of the pancreatic duct in the pancreatic body is not significantly changed. No evidence of a pancreatic mass.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Moderate volume ascites.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.No evidence of cholecystitis.2.Mild prominence of the common bile duct and the pancreatic duct. Findings may be secondary to benign stricture at the level of the ampulla.3.Moderate volume ascites.4.Small left and moderate right pleural effusions with left lower lobe and right subsegmental atelectasis.5.Hepatomegaly.