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Liver is enlarged with a measurement of 15.3 cm (right midclavicular line, normal size 9.5-13.5 cm for her age). No focal liver lesion. Liver edge and margin are smooth and regular.

Spleen is at the upper limits of normal, measuring 10.3cm (normal size for her age and gender 6.4 to 10.5cm). No focal splenic lesion or splenic varices.

Gallbladder, both adrenal glands, pancreas and both kidneys are normal.

Urinary bladder is markedly distended. The urinary Foley catheter is mal-positioned with the tip and balloon located in the vagina.

Moderate amount of non-enhancing ascites at the lower abdomen and pelvis.
No abdominal and pelvic lymphadenopathy

No abnormal bowel wall thickening, bowel loops dilatation and bowel-related mass.

Large area of ground glass opacities in both lower lobes (right more than left side) with interspersed smooth thickened interlobular septae.  A few subpleural focal areas of consolidations in both lower lobes. Patchy ground glass opacities at the right upper lobe. 

Generalized osteopenic changes and multiple lytic lesions over the imaged bone, especially at the sites of red marrow namely spine, pelvic bone, sternum, and metaphyses of both femurs and humerus. The spine has coarsened trabeculation.