Abdominal pain. 44-year-old male with decompensated cirrhosis. History of hepatic hydrothorax and gallstones. ABDOMEN:LUNG BASES: Large right pleural effusion, with right lower lobe segmental atelectasis.LIVER, BILIARY TRACT: Cirrhotic liver morphology with recanalized umbilical vein and extensive varices. Minimal upper abdominal ascites. No focal hepatic lesions are evident. The common hepatic duct and common bile duct are mildly prominent. No intrahepatic biliary ductal dilation. Collapsed gallbladder with wall thickening, likely related to the patient's cirrhosis.SPLEEN: Marked splenomegaly.PANCREAS: No significant abnormality noted in the pancreatic parenchyma. No pancreatic ductal dilation. Upper abdominal ascites is non-specific and may reflect cirrhosis and/or pancreatitis. No loculated peripancreatic fluid collections. ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.
1. Cirrhosis with a small amount of upper abdominal ascites and a large right pleural effusion.2. No focal pancreatic abnormality evident. 