Plain study followed by triphasic liver study
Liver shows features of chronic parenchymal disease in the form of surface and parenchymal nodularity, widened interlobar fissure, left and caudate lobe hypertrophy. Patchy wedge shaped geographic areas of subtle arterial enhancement in the peripheries seen in both lobes becoming more evident in portal phase and homogenizing in equilibrium phase.
Mild irregular mural thickening of gall bladder with mild pericholecystic free fluid. A 4mm radiodense gall stone seen.
Well defined lesion with air fluid levels and thin walls seen in periampullary region communicating with duodenum, displacing distal common bile duct and distal main pancreatic duct posteriorly.
No splenomegaly or ascites. No significant portosystemic collaterals. Gastric band in situ.