Female; 60 years old. Reason: 60yo F w/ uptrending TBili, RUQ pain and concern for cholangitis vs acute liver injury History: as above Lack of intravenous contrast limits today for solid organ pathology.ABDOMEN:LIVER, BILIARY TRACT: No focal hepatic lesions. Low T2 signal of the liver diffusely is suggestive of iron deposition, though there is no paradoxical loss of signal on in-and-out of phase images to confirm this. Nonspecific periportal edema and pericholecystic free fluid, which may be related to generalized ascites. Gallbladder is not distended. No cholelithiasis. No biliary ductal dilation. Note that MRCP images are limited due to ascites.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.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: Mild left axillary lymphadenopathy, partially visualized. Body wall anasarca.OTHER: Cardiomegaly and bilateral pleural effusions, partially visualized. Moderate upper abdominal ascites.
1. Findings suggestive of CHF and/or volume overload.2. Nonspecific periportal edema and pericholecystic fluid may be related to generalized edema.3. No biliary ductal dilation.