45 years, Female, Reason: cause of LFT abnormalities History: markedly elevated alk phos, elevated AST/ALT. Severely limited study due to patient motion and large body habitus.ABDOMEN:LUNG BASES: Cardiomegaly.LIVER, BILIARY TRACT: Gallbladder is contracted with wall thickening which is nonspecific. Hepatomegaly. No focal hepatic lesions. Common bile duct appears normal. SPLEEN: Borderline enlarged spleen.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Scattered subcentimeter retroperitoneal lymph nodes.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Trace perihepatic ascites.
1.Limited study due to motion and body habitus.2.Hepatomegaly without focal liver lesions.3.Contracted gallbladder with nonspecific wall thickening which is likely due to volume overload.4.Trace perihepatic ascites.