Reason: evaluate for biliary malignancy History: elevated alk phos and transaminitis, prior RUQ US normal per report. Hx of weight loss concerning for cancer ABDOMEN:LIVER, BILIARY TRACT: Gallbladder is collapsed with diffuse wall thickening which is nonspecific. Common bile duct measures 7 mm, likely within normal limits for age. No intrahepatic biliary ductal dilatation. Cholelithiasis. No evidence of choledocholithiasisSPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Mild bilateral hydronephrosis, right greater than left.RETROPERITONEUM, LYMPH NODES: Prominent portacaval lymph nodes.BOWEL, MESENTERY: Mesenteric stranding, better seen on prior CT. Bowel wall thickening in the ascending colon.BONES, SOFT TISSUES: Lesion in the T7 vertebral body which is hyperintense on T1 and T2 likely represents a hemangioma. L3 T2 hyperintense lesion also likely represents a hemangioma given appearance on prior CT. T2 hypointense lesion in the T9 vertebral body corresponds to sclerotic focus on prior CT.OTHER: Moderate abdominal ascites. Small right pleural effusion.
1.Patient could not tolerate the exam, which was terminated early. Postcontrast images were not obtained. 2.Cholelithiasis without evidence of cholecystitis or biliary malignancy.3.Moderate abdominal ascites with mesenteric stranding as seen on prior CT.4.Right colonic thickening may represent a nonspecific colitis.