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Major findings:
- Contracted gallbladder with wall hyperenhancement and foci of intraluminal air (also in the CBD and intrahepatic bile ducts), and focal fat stranding. The wall is attached to the duoudenum, suggestive of fistulization.
- Inhomogeneous arterial phase hyperenhancement of the liver adjacent to the gallbladder fossa, likely inflammatory.
- About 30 mm egg-shaped low density structure in the rectum, likely the migrated known gallstone (confirmed clinically later on).
- Distended small bowel with air-fluid levels indicative of stasis, but no bona fide SBO.
Other findings:
- Left adrenal mass, potential adenoma, further characterization with adrenal protocol multiphase CT warranted.
- Simple renal cysts, perirenal fat stranding, right lower polar accessory artery.
- Small hiatal hernia.
- Mutiple calcified subcutaneous soft tissue granulomas
- Diverticulosis