RADIOLOGY: HEPATOBILIARY: Case# 33483: VERY FATTY LIVER. 49 year old woman with acute alcoholic hepatitis. 1. Huge, extremely fatty liver. 2. Distended gallbladder, but no evidence of perforation. 3. Small ascites. 4. Partial small bowel obstruction with a possible transition point seen on image #58. 5. IUD in place.