Male 42 years old with elevated bilirubin. Evaluate for biliary obstruction. ABDOMEN: Exam is somewhat limited due to patient motion.LIVER, BILIARY TRACT: Hepatomegaly. No focal liver lesion. There is an increase in signal intensity on out of phase images suggesting the possibility of iron deposition. There is no gallbladder wall thickening or cholelithiasis. No intra or extrahepatic biliary ductal dilatation.SPLEEN: Splenomegaly.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: No significant abnormality noted.OTHER: Moderate, loculated left pleural effusion with left basilar atelectasis and consolidation.
1.No biliary obstruction.2.Hepatosplenomegaly.3.Moderate loculated left pleural effusion with left basilar atelectasis and consolidation.