Biphasic MSCT of the lower extremities (arterial and venous phases):
Irregular gallbladder wall thickening with an enhancing gallbladder fundal mass lesion is seen that measures about 3.5 x 2.5 cm in maximal size with ill-definition and infiltration of the gallbladder fossa as well as thickening of omentum with heterogeneously enhancing omental soft tissue sheets abutting the anterior abdominal wall (omental cake) 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 to the right external iliac vein. All veins are occluded by a soft tissue thrombus and show mild wall enhancement. Severe subcutaneous soft tissue edema is noted around the whole right lower limb as well as a subcutaneous fluid collection at the right side of the anterior abdominal wall.
The left external iliac vein, CFV and FV are slightly reduced in caliber and show partial opacification of the contrast, however, with multiple discrete 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.