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Findings: There is chronic appearing bilateral pleural effusion right worse than left with associated right lower lobe atelectasis, improved from prior. Atherosclerotic vascular calcifications are seen throughout the tortuous aorta and its major branches. There are also cardiac valvular and coronary artery calcifications.
There is right-sided percutaneous biliary catheter with the tip terminating in the second part of duodenum. The liver is without focal lesions. Small amount of perihepatic fluid is noted. The gallbladder is distended with fluid and has a thickened wall measuring approximately 6 mm. The pancreas is atrophic. Spleen and adrenal glands are unremarkable. Again noted are multiple bilateral cysts throughout both kidneys. Nonopacified bowel demonstrate no significant dilatation or thickening. Again noted is enlarged prostate. Moderate degenerative disease of the lumbar spine is noted.
IMPRESSION:
1. Gallbladder wall thickening could be secondary to cholecystitis or generalized edema. Unchanged percutaneous biliary drain. Consider RUQ ultrasound.
2. Decreased size of right pleural effusion.