41-year-old female with generalized abdominal pain. History of scleroderma. Rule out obstruction. ABDOMEN:LUNG BASES: Moderate cardiomegaly. Moderate pericardial effusion. Interstitial lung disease at both lung bases may be due to scleroderma. Diffuse esophageal wall thickening and dilatation.LIVER, BILIARY TRACT: Diffuse infiltrative changes in the liver, especially the right hepatic lobe, narrows the hepatic veins near the intrahepatic IVC. This may be due to fatty infiltration or other etiology. Dedicated hepatic CT or MRI examination may be helpful for further evaluation, if indicated.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRETROPERITONEUM, LYMPH NODES: A mesenteric lymphadenopathy is present, most prominently at the mesenteric root. For reference, a mesenteric node measures 1.3 x 2.4 cm axial image 71/144 of series 3.BOWEL, MESENTERY: Diffuse small bowel wall thickening. No definite evidence of bowel ischemia. Normal appendix in the right lower quadrant. No evidence of bowel obstruction.BONES, SOFT TISSUES: No significant abnormality notedOTHER: Small amount of ascites is present.PELVIS:UTERUS, ADNEXA: Uterus is atrophic or absent.BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: Degenerative changes in the lumbosacral spine and pelvis.OTHER: No significant abnormality noted
Cardiomegaly with moderate pericardial effusion. Ascites. Infiltrative changes in the right hepatic lobe, see above. Chronic changes in lung and bowel from scleroderma. Mesenteric lymphadenopathy.