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Focal hypodensity in the liver adjacent to the falciform ligament in keeping with focal fatty infiltration. The right kidney is malformed. malrotated and malpositioned (low lying) with duplication of the renal pelvis but with a single ureter. No hydroureter. Multiple prominant mesenteric lymph nodes with no lymphadenopathy by size criteria.
No free intraperitoneal gas or fluid.
The appendix, spleen, pancreas, and adrenals are unremarkable. The bladder is distended. The lung bases are clear.