62-year-old male. Transaminitis. Increased alk phos. Rising LFTs. Significant motion artifact and lack of intravenous contrast severely limits evaluation of solid organ pathology.ABDOMEN:LIVER, BILIARY TRACT: Diffusely decreased T2 signal in the liver suggestive of iron deposition. No biliary ductal dilatation. Gallbladder is collapsed and the cholecystostomy tube is not well-seen. No definite focal hepatic lesion within limits of exam.SPLEEN: Diffusely decreased T2 signal and signal loss on in phase images within the spleen suggestive of iron deposition. Focal T2 hyperintensity in the spleen correlating with an ill-defined hypodense lesion on prior CT (series 901, image 26), not well characterized due to significant motion and lack of contrast.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: T2 hyperintense foci in the mid to lower pole of right kidney, incompletely evaluated without contrast, likely a cyst. No hydronephrosis.RETROPERITONEUM, LYMPH NODES: Infrarenal IVC filter.BOWEL, MESENTERY: Small fat-containing umbilical hernia.BONES, SOFT TISSUES: Multiple compression deformities in the thoracolumbar spine with vertebroplasty changes. Anasarca. Small cystic foci at the sacral neural foramina, likely Tarlov cysts.OTHER: Foley catheter terminates in the bladder. Bilateral pleural effusions and nonspecific basilar opacities. 5 x 10.6 cm anterior mediastinal hematoma causing mild mass effect upon the right heart border; there is mild associated diffusion restriction and superimposed infection is not excluded. Trace scattered abdominal ascites. No loculated fluid collection.
1. No biliary ductal dilatation.2. Known anterior mediastinal hematoma with mild associated diffusion restriction, superimposed infection not excluded.