Evaluate for gallbladder pathology. Elevated LFTs. Several imaging sequences are severely limited by respiratory motion.ABDOMEN:LIVER, BILIARY TRACT: Hepatic morphology suggestive of cirrhosis including left lobar hypertrophy and lobular contour. Enlarged hepatic veins likely related to elevated right-sided heart pressures.The clinical service the patient has a history of cardiac cirrhosis.No focal liver lesion is identified.The MRCP images are nondiagnostic. No intrahepatic biliary ductal dilatation. The common bile duct is somewhat poorly visualized but appears normal in caliber. No filling defect is seen but cannot be entirely excluded.Normally distended gallbladder without evidence of acute cholecystitis or gallstones.The portal vein appears patent.Stigmata of portal hypertension including perihepatic ascites and para esophageal varices.SPLEEN: Borderline slightly measuring 13 cm in the craniocaudal dimension.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: Limited evaluation of the bowel is unremarkable.BONES, SOFT TISSUES: Anasarca.OTHER: Large pericardial effusion. Right hilar and apical consolidation/mass, better evaluated on prior chest CT.
1.Limited examination as discussed above without biliary ductal dilatation or specific findings of cholangitis. Evaluation for a small filling defect is limited.2.Cirrhotic liver morphology with findings of portal hypertension.3.Large pericardial effusion. Cardiomegaly.4.Right hilar and apical lung mass is better characterized on recent CT.