Biphasic MSCT of the lower extremities (arterial and venous phases):
Irregular gall bladder wall thickening with an enhancing gall bladder fundal mass lesion is seen that measures about 3.5 X 2.5 cm in its maximal diameters with ill-definition and infiltration of the gall bladder fossa as well as thickening of omentum with heterogeneously enhancing omental soft tissue sheets abutting the anterior abdominal wall (omental cake/ deposits) and small amount of ascites consistent with gallbladder carcinoma with peritoneal carcinomatosis.
Extensive thrombosis of the right lower limb veins from the right popliteal vein till the right external iliac vein. All veins are occluded by a soft tissue thrombus and shows mild ring wall enhancement. Severe subcutaneous soft tissue edema are noted around the whole right lower limb as well as subcutaneous fluid collection at the right side of the anterior abdominal wall.
The left external iliac vein, CFV and SFV are slightly reduced in caliber and show partial opacification of the contrast, however, with multiple discrete segments of filling defects representing chronic thrombosis.
Multiple soft and calcific atheromatous plaques are noted along the abdominal aorta, however, no evidence of occlusion or significant stenosis. Normal perfusion of arterial system to both lower limbs with no evidence of compartment syndrome or signs of arterial insufficiency.Patent common femoral and profunda femoris arteries as well as the superficial femoral arteries with no significant lesions. Patent tibio-peroneal trunk as well as the infra-popliteal artereies with fair caliber.
Noted also was bilateral severe knee osteoarthritis with moderate right knee joint effusion.