37-year-old male with history of cystic fibrosis related pancreatic insufficiency. Evaluate for cause of epigastric pain. ABDOMEN:LIVER, BILIARY TRACT: No focal hepatic lesions. Mildly increased signal on opposed phase images in the liver diffusely, suggestive of iron deposition. Trace perihepatic ascites. No biliary ductal dilation. Cholelithiasis without evidence of cholecystitis.SPLEEN: No significant abnormality noted.PANCREAS: Fatty replacement of the pancreas, likely secondary to known cystic fibrosis and similar to prior CT. No pancreatic duct dilation. Poor physiologic response to secretin.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Left renal cyst and other too small to characterize T2 hyperintense lesions in both kidneys, likely additional cysts.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.
1.Cholelithiasis without evidence of cholecystitis.2.Fatty replacement of the pancreas with poor physiologic response to secretin.