28-year-old female, postoperative day 2 following laparoscopic cholecystectomy, with new fever. CT abdomen/pelvis with contrast to evaluate for postoperative complication, abscess, or bile leak.

None available. Prior abdominal ultrasound from 2026-05-17 reviewed.

Axial CT images of the abdomen and pelvis were obtained following intravenous administration of 100 mL Omnipaque 350. Multiplanar reformations were generated.

Trace bibasilar atelectasis, likely postoperative in nature. No pleural effusion or focal consolidation.

Normal in size and attenuation. No focal hepatic lesion. Postsurgical changes in the gallbladder fossa with a small amount of expected stranding. No fluid collection or biloma. Surgical clips appropriately positioned.

Status post cholecystectomy. No biliary ductal dilatation. CBD measures 4 mm.

Normal. No peripancreatic stranding.

Normal.

Bilaterally unremarkable.

Both kidneys enhance symmetrically without hydronephrosis or perinephric stranding. No focal lesion.

Nondistended loops of small and large bowel without wall thickening. No pneumatosis. No free intraperitoneal air or fluid beyond expected postoperative changes.

Patent. No filling defect.

Bladder is unremarkable. Uterus and adnexa are normal.

Unremarkable.

Small port-site surgical changes without evidence of fluid collection or hematoma.

1. No acute postoperative complication. No abscess, biloma, hematoma, or bowel injury. 2. Expected postoperative changes in the gallbladder fossa following recent laparoscopic cholecystectomy. 3. Trace bibasilar atelectasis, likely contributing to low-grade fever.

Clinical correlation recommended. If fever persists, consider blood and urine cultures and reassessment for non-surgical infectious sources.