Pancreatitis. Please evaluate for gallstones. Per medical record, history of renal cell cancer status post left nephrectomy and right clavicular mass resection. Please note numerous sequences are limited by extensive motion artifact. ABDOMEN:LUNG BASES: Patchy bilateral lung opacities seen on the large field of view sequences, right greater than left, which may represent aspiration or multifocal infection, better evaluated on the prior CT.LIVER, BILIARY TRACT: Ring-enhancing left hepatic lesion, measuring 1.1 x 1.1 cm (series 1902, image 297), suspicious for metastatic disease. Mild biliary ductal dilation, similar to prior CT. Distended gallbladder with biliary sludge. No choledocholithiasis evident, though further evaluation on MRCP images is limited by motion artifact.SPLEEN: Prominent, suggestive of splenomegaly. Splenule noted.PANCREAS: No loculated peripancreatic fluid collections. No pancreatic ductal dilation. No pancreatic mass evident. No differential parenchymal enhancement to suggest necrosis.ADRENAL GLANDS: The left adrenal gland is not seen. Right adrenal gland is within normal limits.KIDNEYS, URETERS: Patient is status post left nephrectomy. Right kidney with cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Large heterogenous collection without internal enhancement, compatible with hematoma, at the resected right clavicular head is partially imaged on the large field-of-view images, better seen on the prior CT.Subcentimeter foci of increased T2 signal in multiple vertebral bodies, without CT correlate, likely represent hemangiomas. OTHER: The mesenteric nodule seen on the prior CT is not included on the field of view of this exam.
1.Limited examination due to extensive motion artifact.2.No choledocholithiasis evident. 3.No peripancreatic fluid collections.