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RADIOLOGY: HEPATOBILIARY: Case# 32885: GALLBLADDER EDEMA, HIV LYMPHADENOPATHY, HEPATOMEGALY, SPLENOMEGALY. 20-year-old female, HIV+, presents to ER with altered mental state, right upper quadrant pain, and fever. Plain films show hepatosplenomegaly. Both the liver and spleen are enlarged. The spleen measures 15.0 cm in craniocaudad dimension, and the liver measures approximately 17.0 cm in the midclavicular line. The liver has a mottled reticular appearance. No focal intrahepatic lesion is seen. Hepatic lymphedema is noted adjacent to the portal vessels. No focal intrasplenic abnormality is identified. The gallbladder wall is edematous and thickened. There is consequent luminal narrowing. Adjacent to the gallbladder is some pericholecystic fluid. No calculi are seen within the gallbladder. The kidneys and adrenals outline normally.

Author

Peter Anderson

Posted on

Thursday 1 August 2013

Tags

hepatobiliary, radiology

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• PEIR Radiology / Hepatobiliary

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