Reason: eval for obstruction History: Lipase and Alk Phos elevation The absence of intravenous contrast limits evaluation of the solid organs and vasculature. Given those limitations, the following observations were made:ABDOMEN:LIVER, BILIARY TRACT: Mildly enlarged liver measuring 19 cm. No biliary ductal dilatation. No focal hepatic lesion is identified. Small perihepatic ascites. Small amount of pericholecystic fluid without other evidence of acute cholecystitis. No evidence of cholelithiasis or choledocholithiasis.SPLEEN: No significant abnormality noted.PANCREAS: No pancreatic ductal dilatation. There is slight increase in the pancreatic parenchymal signal on diffusion-weighted images, but no definite peripancreatic fluid, fat stranding, or other findings to suggest pancreatitis. ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Enteric tube tip in the antropyloric region. Mildly distended loops of bowel, partially seen, which may represent ileus.BONES, SOFT TISSUES: Extensive body wall anasarca.OTHER: Bilateral pleural effusions with adjacent atelectasis/consolidation.
1.No specific evidence of biliary obstruction or pancreatic ductal obstruction.2.Mildly enlarged liver with small amount of ascites.3.Partially seen mildly dilated loops of bowel, which may represent ileus.4.Bilateral pleural effusions with adjacent atelectasis/consolidation.