54 years, Male, Reason: evaluate for cause of elevated transaminases in pt w AML s/p SCT History: elevated transaminases, fever and altered mental status. ABDOMEN:LUNG BASES: Small bilateral pleural effusions, right greater than left, unchanged.LIVER, BILIARY TRACT: Multiple small gallstones with mild gallbladder wall thickening. Diffuse low signal on in phase T1 and T2 images likely reflects iron deposition. A 0.9-cm (1304/314) enhancing lesion in the left hepatic lobe seen on venous and delayed phases with mild associated increased T2 signal.SPLEEN: Diffuse lobe signal on in phase T1 and T2 images likely reflects iron deposition.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Simple appearing right renal cyst.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Scattered mesenteric edema.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Cholelithiasis with gallbladder wall thickening may represent acute cholecystitis. Recommend ultrasound for further evaluation.2.Subcentimeter enhancing lesion is nonspecific and may represent flash filling hemangioma, although metastases may also appear similar.3.Iron deposition within the liver and spleen.