There is a large, right pleural effusion (10 HU), with compressive atelectasis. There is a tiny left basal effusion. There are no other thoracic abnormalities to suggest pulmonary tuberculosis.
There is hepatic steatosis, with dilated intra and extrahepatic bile ducts with a collapsed distal common bile duct (CBD). There are ill-defined punctate densities within the dilated ducts. There is no hepatomegaly.
The gallbladder is contracted with punctate calcified gallstones. There is no cholecystitis.
The pancreas and pancreatic duct are normal.
There is an isolated spenic cyst, with a normal splenic size.
There is necrotic epigastric, portahepatic, paraaortic and paracaval lymphadenopathy.
Suspected intestinal/ abdominal tuberculosis with abnormal small and large bowel including the terminal ileum.
Complex pelvic appearance suggesting pelvic sepsis (tubo-ovarian complexes/pelvic inflammatory disease/possible urogenital tuberculosis).