61-year-old female with abdominal nodularity seen on CT. ABDOMEN:LIVER, BILIARY TRACT: The liver measures up to 21 cm in craniocaudal length. Diffuse loss of signal intensity on the out of phase sequence is compatible with hepatic steatosis. There is a persistent gallbladder wall thickening with intraluminal stones versus sludge. Findings could represent chronic cholecystitis. Diffuse heterogenous enhancement of the hepatic parenchyma particularly in the arterial phase is likely due to the fatty infiltration. No suspicious enhancing parenchymal lesions. No intra or extrahepatic biliary ductal dilatation. The portal and hepatic veins are patent.SPLEEN: No significant abnormality noted.PANCREAS: Normal T1 hyperintense signal on precontrast series. No pancreatic ductal dilatation. No suspicious pancreatic lesions.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Mild periportal and mesenteric lymphadenopathy is noted on the diffusion weighted series. For reference, a periportal lymph node measures 2.4 x 1.3 cm (axial series 406 image 184). BOWEL, MESENTERY: Moderate upper abdominal ascites, and mild fluid motion artifacts limit the exam. No nodular enhancement or focal restricted diffusion is visualized. Uniform peritoneal enhancement is nonspecific.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Moderate upper abdominal ascites without nodular enhancement or focal restricted diffusion. 2.Hepatic steatosis. No suspicious hepatic lesions.3. Mild periportal and mesenteric lymphadenopathy.4. Persistent gallbladder wall thickening with intraluminal stones versus sludge, which could represent chronic cholecystitis. Clinical correlation suggested. 