67-year-old female presents with right upper quadrant pain and tenderness. LIVER:Evaluation limited due to an inability to optimally position the patient and due to body habitus. Again noted are right lobe are widespread metastases. Unable to accurately measure liver length. Mild ascites. No intrahepatic biliary dilation. Portal vein is patent with hepatopedal flow.GALLBLADDER, BILIARY TRACT: Evaluation of gallbladder and biliary tract is limited due to inability to optimally position the patient due to body habitus. Common duct measures 0.3 cm.PANCREAS: Evaluation of the pancreas limited due to overlying bowel gas.SPLEEN: Evaluation limited. Spleen not seen on this study.KIDNEYS: Evaluation of the kidneys is limited and unable to accurately measure. No gross hydronephrosis. OTHER: Small left pleural effusion.
1. Study severely limited due to an inability to optimally position the patient and due to body habitus.2. Widespread bilobar hepatic metastases better seen on prior CT abdomen.3. No gross hydronephrosis, though evaluation of the kidneys is limited.