Distended abdomen with sepsis LIVER: Hepatomegaly without mass. Liver length 21.5 cmGALLBLADDER, BILIARY TRACT: Cholelithiasis without acute inflammation or ductal dilatationPANCREAS: No significant abnormalities noted.RIGHT KIDNEY: Echogenic renal parenchyma again noted. Right renal cyst. Right kidney 10.7 cm in length.OTHER: Spleen 11.2 cm in length. Complex loculated perisplenic and perihepatic ascites again noted
Cholelithiasis without acute inflammation or ductal dilatation. No change in complex loculated perisplenic and perihepatic ascites; infection cannot be excluded. 