Both kidneys are enlarged and contain multiple varying sized cysts less than 90 mm. In addition, several small cysts are present at the liver less than 15 mm. Features are consistent with autosomal dominant polycystic kidney disease.
The hepatic attenuation value is less than the spleen, suggesting fatty liver.
Postoperative changes are seen due to total gastrectomy and esophagojejunostomy. There is no sign of local tumoral recurrence at the anastomotic site.
Air space opacity is present at the left lower lobe, most consistent with pneumonia.
Mild pleural effusion is present bilaterally.
Cardiomegaly is present, and the pulmonary artery trunk is dilated.