66 year old male create elevated alk phos and WBC. Assess elevated LFTs. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver morphology. Patent hepatic vasculature. No suspicious hepatic mass. Punctate right hepatic lobe focus without appreciable enhancement (series 15, image 56), likely a cyst. Cholelithiasis. No biliary ductal dilatation.SPLEEN: Mild splenomegaly measuring 13.6 cm.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral renal cysts, including a T1 hyperintense hemorrhagic/proteinaceous cyst in the right kidney. No hydronephrosis.RETROPERITONEUM, LYMPH NODES: Small gastrohepatic ligament lymph nodes, likely reactive.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Small umbilical hernia containing fluid.OTHER: Large amount of abdominal ascites.
Cirrhosis with no suspicious hepatic mass. No biliary ductal dilatation or evidence of obstruction. Large amount of abdominal ascites.