Prominent perihepatic fat
Generalised upper abdominal pain. Vomiting. Concern for perforation clinically.
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Generalised low attenuation around the liver. Non-specific bowel gas pattern.
The clinical team performed this examination and were concerned that the low attenuation around the liver was gas and indicated perforation. They requested a CT to determine the source of perforation.
In fact, it is just perihepatic fatty deposition - a CT wasn't necessary!