Male; 73 years old. Reason: 73M s/p aborted cholecystectomy due to dense adhesions History: evaluate gallbladder ABDOMEN:LIVER, BILIARY TRACT: No focal hepatic mass. No biliary ductal dilation. Patent distal cystic duct. Gallbladder is contracted and contains gallstones, similar to prior ultrasound. Normal gallbladder wall thickness accounting for contracted state. The gallbladder wall demonstrates increased enhancement on delayed phase images, suggestive of fibrosis. No pericholecystic fluid or surrounding inflammatory changes to suggest acute cholecystitis. The gallbladder contacts and is likely adhesed focally to the proximal duodenum, as suspected during recent surgery (series 11/28). No focal gallbladder mass. SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Contracted gallbladder containing gallstones with findings suggestive of fibrosis involving the gallbladder wall and focal adhesion to the duodenum, as suspected during recent surgery. No evidence of acute cholecystitis. No focal hepatic or gallbladder mass.