Distended gallbladder with a thick enhancing wall. A focal defect of the gallbladder wall is noted communicating with a peri-and subhepatic fluid collection with surrounding mesenteric fat stranding and thickening with enhancement of the adjacent peritoneal reflections. Minimal effusion is noted in the pelvic region.
Other findings:
generalised left renal atrophy and left renal artery stenosis (known hypertensive patient)
arteriosclerosis of the abdominal aorta and iliac arteries
sliding hiatal hernia
colonic diverticula mainly of the sigmoid colon
small umbilical hernia
degenerative disc disease at L5-S1