43 year-old female with a history of fatty liver. Rule out liver lesions. ABDOMEN:LIVER, BILIARY TRACT: Note is made of multiple foci of signal loss in the right lobe of the liver on out of phase sequences, consistent with focal fatty infiltration. Additionally, note is made of focal fatty sparing along the gallbladder fossa. No evidence of intra-or extrahepatic biliary ductal dilation. No enhancing mass lesions are identified. Mild hepatomegaly.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Multiple subcentimeter foci of fluid signal intensity are identified in the kidneys bilaterally, which are too small to characterize, but likely represent simple cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: There is mild wall thickening affecting a loop of jejunum in the left hemiabdomen. BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1. Fatty infiltration of the liver without evidence of a focal mass lesion, as clinically questioned.2. Nonspecific wall thickening of a loop of jejunum in the left hemi-abdomen. Differential considerations include infectious and inflammatory etiologies. These findings can also be seen with chronic NSAID use related strictures. Neoplasm cannot be completely excluded and clinical correlation is indicated. 