The liver is enlarged and demonstrates fine surface nodularity suggestive of early cirrhosis.
CBD is dilated, around 9 mm in maximum diameter and demonstrates mural thickening and enhancement. No mass lesion is seen at the distal CBD or head of the pancreas. Note is made of moderate dilatation of the left intrahepatic biliary radicles with focal cystic dilatation of left hepatic duct. There is mild dilatation of the right intrahepatic radicles centrally. No definite mass lesion could be identified. Couple of subcentimeter porta hepatis lymph nodes is seen. The pancreatic duct is not dilated.
The spleen is enlarged, measuring 18 cm in the CC dimension.
Mucosal thickening of the right colon involving the cecum, ascending and hepatic flexure. Mild mucosal thickening is also seen in the terminal ileum. A couple of subcentimeter mesenteric lymph nodes are seen as well. No mesenteric fat strandings are seen. No free fluid is seen. Findings are highly suggestive of burn out or chronic colitis.