A 35-year-old woman presents with generalised abdominal pain, associated with 3 weeks of abdominal distension.

She has a previous history of recurrent thrombosis and multiple previous miscarriages, with no identified thrombophilia. She is not on any anticoagulation.

Blood work up reveals a mild LFT derangement ALP 174, GGT 75, ALT 40 with a normal Bilirubin and CRP 180

An abdominal CT is performed

Describe and interpret the CT scan
CT interpretation

Clinical Pearls


Emergency Medicine Education Fellow at Liverpool Hospital NSW. MBBS (Hons) Monash University. Interests in indigenous health and medical education. When not in the emergency department, can most likely be found running up some mountain training for the next ultramarathon.

Dr Leon Lam FRANZCR MBBS BSci(Med). Clinical Radiologist and Senior Staff Specialist at Liverpool Hospital, Sydney

Sydney-based Emergency Physician (MBBS, FACEM) working at Liverpool Hospital. Passionate about education, trainees and travel. Special interests include radiology, orthopaedics and trauma. Creator of the Sydney Emergency XRay interpretation day (SEXI).

Provisional fellow in emergency radiology, Liverpool hospital, Sydney. Other areas of interest include paediatric and cardiac imaging.

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