PEIR Digital Library

Welcome to the Pathology Education Informational Resource (PEIR) Digital Library, a multidisciplinary public access image database for use in medical education.

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RADIOLOGY: ABDOMEN: Case# 33127: BILOMA, RIGHT ADRENAL HEMATOMA. 67 year old woman S/P MVA. 1) Enlarging low attenuation fluid collection within and extending inferior to a healing right hepatic lobe liver laceration. The appearance is most consistent with biloma. Hemorrhage would most likely be higher in attenuation. 2) Vicarious excretion of intravenous contrast into the gallbladder, with mild stasis. 3) Right adrenal hematoma. 4) Improving bibasilar atelectasis. 5) Intraperitoneal high density fluid consistent with residual hemorrhage.

Peter Anderson