21-year-old male patient with history of Hb-SS presents with hepatomegaly, jaundice, increased indirect bilirubin. ABDOMEN:LIVER, BILIARY TRACT: Status post cholecystectomy. There is biliary duct narrowing at Klatskin's point (series 901 image 73) without proximal intrahepatic biliary ductal dilatation. No extrahepatic biliary ductal dilatation. Hepatomegaly, measuring up to 22 cm in craniocaudal dimension. Extensive deposition noted in the liver parenchyma. Hepatic vasculature is patent. Enlarged porta hepatic lymph nodes noted.SPLEEN: Presumed splenectomy.PANCREAS: No pancreatic ductal dilatation or suspicious lesion.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Mildly dilated calices in the right kidney may be seen in the setting of papillary necrosis.RETROPERITONEUM, LYMPH NODES: Scattered retroperitoneal lymph nodes. Note that evaluation of the patient's known mesenteric mass is suboptimally evaluated due to the lack of intravenous contrast.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Hepatomegaly with extensive iron deposition.2.Narrowing at Klatskin's point without proximal intrahepatic biliary ductal dilatation.3.Dilated calices in the right kidney may be seen in the setting of papillary necrosis.