Status post femoral access attempts. Rule out retroperitoneal bleeding. ABDOMEN: Bilateral small pleural effusions. Cardiomegaly. Independent atelectasis lung bases.LIVER, BILIARY TRACT: Liver is nodular in contour with hypertrophic left lobe suggestive of chronic liver disease. Cholelithiasis without evidence of cholecystitis. No biliary dilatation.SPLEEN: No significant abnormality noted.PANCREAS: Pancreas is atrophic. Lack of IV contrast severely limits evaluation of the pancreas. If there is any clinical concern for pancreatic pathology MRI is recommended.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Both kidneys demonstrate retained contrast likely from previous contrast enhanced study. Bilateral large stones mostly in the lower pole of the collecting system of the kidneys are again noted. Large left-sided renal cyst and small bilateral renal cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXAE: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Small left-sided inguinal hematoma. No extension to the retroperitoneum.OTHER: Right-sided femoral venous catheter extends to the right ventricle.
No evidence of retroperitoneal hemorrhage. Cholelithiasis and bilateral nephrolithiasis unchanged.Cardiomegaly bilateral small pleural effusions. Possible chronic liver disease. If there is a clinical concern for pancreatic pathology MR of the liver is recommended. This study is extremely limited for evaluation of the pancreas.