Reason: evaluate for gallstone in duct History: epigastric pain, N/V Examination mildly limited by motion.ABDOMEN:LIVER, BILIARY TRACT: The liver is mildly prominent in size measuring up to 22 cm in the craniocaudal dimension with an otherwise normal morphology. There is a mildly T2 hyperintense structure within hepatic segment 5 with reference measurements below which is nonspecific but lacks suspicious enhancement characteristics and which is most likely benign. There are a few additional scattered subcentimeter structures which are too small to characterize but likely represent cysts. The hepatic vasculature appears patent.The gallbladder demonstrates normal distention. Cholelithiasis. No gallbladder wall thickening or pericholecystic fluid. No intra or extrahepatic biliary ductal dilatation. No choledocholithiasis is identified.SPLEEN: There is diffuse mildly decreased parenchymal signal suggestive of hemosiderin deposition. Scattered areas of increased T2 signal and enhancement within the spleen are nonspecific but may reflect hemangiomas.PANCREAS: The pancreas demonstrates diffusely decreased T1 signal, restricted diffusion, and mildly heterogeneous enhancement without evidence of focal necrosis. Mild fat stranding surrounds the pancreatic tail without discrete fluid collection. The pancreatic duct is not dilated. The main pancreatic duct crosses the common bile duct anteriorly and terminates in the minor papilla consistent with pancreas divisum.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Left lower pole simple cyst. No hydronephrosis.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.INDEX LESION MEASUREMENTS (Current exam date/time: 9/20/2016 04:00:00)HEPATIC SEGMENT 5 LESION: 0.9 x 0.8 cm (Image 23, Series 6).
1.Findings compatible with pancreatitis without evidence of complication.2.Pancreas divisum.3.Cholelithiasis without evidence of cholecystitis or choledocholithiasis.4.Mild hepatomegaly. Hemosiderin deposition within the spleen which may be related to sickle cell disease.