74-year-old male with history of elevated alk phos. Evaluate liver/gallbladder. LIVER: Small amount of perihepatic ascites. Subtle heterogeneity of the liver may represent chronic liver disease versus fatty infiltration.GALLBLADDER, BILIARY TRACT: Gallbladder wall is slightly thickened, which may be related to the patient's ascites.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted.OTHER: Splenic granulomata.
Gallbladder wall is slightly thickened, which can be seen in patients with ascites and/or chronic liver disease, however cannot exclude cholecystitis.