Nausea and jaundice. Evaluate for CBD obstruction. History of bowel perforation end-stage renal disease and sepsis. ABDOMEN:LIVER, BILIARY TRACT: Markedly decreased liver parenchymal T2-weighted signal intensity and loss of signal on in phase imaging compatible with iron deposition. The liver measures 21 cm in length.No focal lesion.Contracted gallbladder containing intermediate attenuation sludge. No intra or extrahepatic biliary ductal dilatation. No filling defect to suggest choledocholithiasis.SPLEEN: The spleen measures 11 cm in length without a focal lesion. It is low on T2 weighted signal intensity compatible with iron deposition.PANCREAS: The pancreas is mildly atrophic. The main pancreatic duct is minimally prominent without a discrete lesion.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: End-stage kidneys without hydronephrosis or suspicious lesion.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Percutaneous gastrostomy tube retention balloon within the distal gastric body. Partially imaged left lower quadrant end ileostomy.BONES, SOFT TISSUES: Loculated right-sided pleural effusion with adjacent consolidation/atelectasis. Small left pleural effusion and basilar atelectasis.Scoliosis.Osseous stigmata suggestive of renal osteodystrophy.Partially imaged anterior pelvic wound.OTHER: No significant abnormality noted.
1.Sludge within a contracted gallbladder. No choledocholithiasis or biliary ductal dilatation.2.End-stage kidneys. Findings of hemosiderosis.3.Moderate size loculated appearing right-sided pleural effusion with adjacent consolidation/atelectasis.