Gallbladder/biliary tree:
The gallbladder is enlarged with a diffusely thickened wall measuring up to 0.6 cm. There is a small amount of T2 bright fluid which surrounds the gallbladder. There are at least two large T2 dark filling defects within the gallbladder, the largest measuring at least 4.7 cm, which likely represent large gallstones. The dilated gallbladder containing gallstones lies in the expected position of the first and second duodenum, and appears inseparable from the duodenum.
Again noted is a small amount of pneumobilia within the intrahepatic bile ducts to the left lobe, as seen by T2 dark filling defects in the nondependent portion of the biliary tree. There is moderate intrahepatic biliary ductal dilatation, with abrupt tapering at the level of the dilated gallbladder.
There is moderate dilatation of stomach containing air-fluid levels.
Spleen:
Mildly enlarged measuring 13.6 cm. There are multiple small circumscribed T2 hyperintense lesions throughout the spleen with circumscribed margins. These lesions demonstrate filling in on delayed phase imaging, likely representing splenic hemangiomas.