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CT Abd Ascites

Findings: Mild ascites is present around the capsule of the liver. The liver is enlarged. The gallbladder demonstrates an irregular thickened appearing wall with pericholecystic fluid. The pancreas is atrophic appearing and of low-attenuation, numerous calcifications are identified within the pancreas. There are prominent vessels noted around the splenic hilum consistent with varices. The spleen is incidentally noted to have a fissure traversing the superior aspect, but is otherwise unremarkable. The right kidney appear somewhat inferiorly displaced and rotated, likely secondary to hepatic enlargement, otherwise, the kidneys and adrenal glands are unremarkable. Contrast extends to the small bowel in the right lower quadrant. There are several stacked loops of small bowel, however, these do not appear dilated or contain concerning appearing air-fluid levels. No contrast is visualized within the colon. The colon appears thickened and edematous, however, demonstrates normal mucosal enhancement throughout. There is no lymphadenopathy. An IUD is noted in the uterus. Bilateral breasts implants are noted. The visualized skeleton is unremarkable. There is a large right-sided pleural effusion with associated right lower lobe collapse. Impression: 1. Hepatomegaly, mild ascites and splenic varices, likely secondary to patient's history of liver failure. 2. Diffuse colonic edema with normal appearing mucosal enhancement may be secondary to fluid overload or hypoalbuminemia. Recommend followup KUB to assess progression of contrast through the colon. 3. Gallbladder wall thickening and pericholecystic fluid likely related to patient's hypoalbuminemia or fluid overload. 4. Evidence of chronic pancreatitis, without current evidence of acute inflammation.