60-year-old female patient with known history of hepatic abscesses. Evaluate for etiology of hepatic failure. Assess for portal vein thrombosis or Budd-Chiari. LIMITED ABDOMENLIVER: The liver measures 13.4 cm in length and is nodular in contour.BILIARY TRACT: The gallbladder is not visualized. There is moderate intrahepatic biliary ductal dilatation. The common bile duct is poorly visualized on this examination.PANCREAS: The pancreas is poorly visualized on this examination.SPLEEN: The spleen measures 12.6 cm in length. RIGHT KIDNEY: The right kidney measures 9.4 cm in length. No evidence of hydronephrosis.OTHER: The left kidney measures 10.5 cm in length. No evidence of hydronephrosis.There is mild to moderate ascites.
1. Moderate intrahepatic biliary ductal dilatation; contrast enhanced CT is recommended to further evaluate the etiology of biliary ductal dilatation.2. Cirrhotic morphology of the liver with mild to moderate ascites.3. Portal veins are not visualized on this examination.