Rule out gallstones LIVER: Liver measures 22.7 cm, likely enlarged in size with multiple diffuse metastases, compatible with known metastases to lung cancer. No intrahepatic delivery ductal dilatation. Portal vein demonstrates normal flow directionality and patency.GALLBLADDER, BILIARY TRACT: Gallbladder is well-distended without any gallstones. No evidence of gallbladder wall thickening or pericholecystic fluid.PANCREAS: Limited evaluation of the pancreas. No obvious evidence of any peripancreatic fluid collection.KIDNEY: Right kidney measures 12 cm and left kidney measures 10.5 cm. No hydronephrosis. Normal collection noted. No focal lesions notedOTHER: Spleen measures 10.7 cm, without any abnormality
Coarse heterogenous enlarged liver with multiple diffuse metastasesNo evidence of gallstones.Limited evaluation of the pancreas due to overlying bowel gas.