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Noncontrast scan due to severely impaired renal function:
- Large, intermediate density subcapsular fluid collection around the liver with significant amount of dependent gas, compressing the liver.
- The collection is communicating with the distended, perforated gallbladder, which also contains gas and small gallstones, also showing wall irregularity.
- Moderate amount of gas in the intrahepatic bile ducts, and periportal congestion.
- Spleen enlarged with a length measuring 160 mm.
- Moderately enlarged prostate.
- Several foci of lytic bone destruction in the depicted skeleton and resultant compression of multiple vertebral bodies. Findings are consequence of known multiple myeloma.