RADIOLOGY: HEPATOBILIARY: Case# 33997: GB EDEMA. This is a thirty-two year old male with Downs syndrome and Eisenmenger physiology.The patients creatinine has now been increasing (3.0). 1) Edematous gallbladder wall, periportal edema and prominent IVC. These findings are probably related to the increased right heart pressures. 2) No cholelithiasis or pericholecystic fluid is seen. There are no sonographic signs of cholecystitis. 3) Bilateral renal subcapsular fluid collections. These are consistent with old hematomas, and are essentially unchanged since ultrasound report of 2/19/96. 4) The pancreas was not well visualized.