Pancreatic mass with right upper carted pain and fever LIVER: Diffusely heterogeneous liver with left lobe gas foci, possibly representing pneumobilia. No discrete mass. Liver length 16.5 cmGALLBLADDER, BILIARY TRACT: Diffuse gallbladder wall thickening with questionable pericholecystic fluid. Associated with cholelithiasis and sludge. Also associated with positive Murphy's sign. Questionable minimal intrahepatic ductal dilatation with mild prominence of the extrahepatic duct.PANCREAS: Not visualized due to overlying gas.RIGHT KIDNEY: No significant abnormalities noted. 8.9 cm in length.OTHER: Left kidney 13.1 cm in length. Spleen 10.9 cm in length. No ascites.
Diffuse gallbladder wall thickening with questionable pericholecystic fluid with cholelithiasis and sludge. Associated with positive Murphy sign. Findings suspicious for acute cholecystitis. Also associated with questionable minimal intrahepatic ductal dilatation with mild prominence of the extrahepatic duct.Diffusely heterogeneous liver without mass. Left lobe gas foci, possibly representing pneumobilia