CECT abdomen and pelvis revealed –
Differential attenuation of liver noted. Multiple subcentimetric hypodense areas noted in both lobes. Mild intrahepatic biliary radicle dilatation noted. Subscapular collection noted along segments VI and VII of liver. Filling defects noted in main portal and splenic veins - suggestive of thrombosis.
Pericholecystic thickening/fluid noted. Common bile duct stent insitu.
Features of chronic calcific panreatitis noted. Ill defined small hypodense lesion noted in the head of pancreas, showing peripheral enhancement.
Multiple preaortic, peripancreatic, mesenteric, left para-aortic and aortocaval lymph nodes noted, few of these showing necrosis.
Minimal ascites.
The lesions in the liver were given a differential diagnosis of abscesses or metastases.