55-year-old man with history of elevated LFTs, evaluate for ductal dilatation. ABDOMEN:LIVER, BILIARY TRACT: There is mild hepatomegaly. The liver appears normal in signal and morphology. The gallbladder is markedly dilated with intraluminal sludge.SPLEEN: A 7 x 4.2 cm subcapsular or perisplenic cyst with simple septation is seen immediately anterior to the spleen (series 501, image 32). The spleen is otherwise normal.PANCREAS: The pancreas appears normal.ADRENAL GLANDS: The adrenal glands appear normal.KIDNEYS, URETERS: Subcentimeter renal cysts are seen in the lower pole of the right kidney. The left kidney appears normal.RETROPERITONEUM, LYMPH NODES: No significant lymphadenopathy noted.BOWEL, MESENTERY: The partially visualized small bowel and colon appear normal. There is ascites present.BONES, SOFT TISSUES: There is soft tissue anasarca.OTHER: Please note that the patient has situs inversus totalis. The patient has moderate bilateral pleural effusions with adjacent atelectasis.
1.Incomplete examination with limited sequences obtained secondary to patient discomfort and inability to tolerate examination.2.Mild hepatomegaly but no focal hepatic lesion or biliary duct dilatation.3.Hydropic gallbladder with sludge.4.Ascites and bilateral pleural effusions.5.Situs inversus totalis.