Male 59 years old Reason: 59m w/ AML with worsening transaminitis History: RUQ abdominal discomfort and worsening transaminitis LIVER: Liver measures 20 cm, enlarged. There is small amount of ascites and right-sided pleural effusion.Echogenicity of the liver is unremarkable. Main portal vein is patent.BILIARY TRACT: Gallbladder is contracted, therefore cannot be optimally evaluated. No evidence of intra or extrahepatic biliary dilatation.PANCREAS: Not well visualized due to overlying bowel gas.SPLEEN: No significant abnormalities noted. RIGHT KIDNEY: No significant abnormalities noted. OTHER: Small left-sided pleural effusion.
Bilateral small pleural effusions and ascites. Contracted gallbladder cannot be optimally evaluated. No evidence of intra-axial hepatic biliary dilatation. Hepatomegaly.