Abdominal pain and elevated LFTs. Evaluate pancreatic anatomy and ductal anatomy. ABDOMEN:LIVER, BILIARY TRACT: Hepatomegaly with the liver measuring 19.6 cm in length. No focal hepatic lesion. No intrahepatic or extrahepatic biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: Extensive soft tissue edema throughout the upper abdomen, particularly affecting the pancreatic parenchyma, presumably reflects the patient's anasarca and prior pancreatitis. Evaluation of the mid and distal pancreatic duct is limited by the extensive adjacent edema, however the proximal duct is nondilated and has normal course and morphology. No focal peripancreatic fluid collections are evident.ADRENAL GLANDS: Mild nonspecific nodularity of the left adrenal gland.KIDNEYS, URETERS: Atrophic kidneys with subcentimeter foci of increased T2 signal like representing small cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Diffuse mesenteric edema as well as moderate volume ascites.BONES, SOFT TISSUES: Diffuse soft tissue edema compatible with anasarca.OTHER: Partially imaged cardiomegaly.
1.Limited examination as patient could not tolerate full exam. Diffuse edema throughout the upper abdomen but particularly affecting the pancreas compatible with the history of pancreatitis. No evidence of complication on this noncontrast exam.2.Limited evaluation of the pancreatic duct as described, however the proximal duct is not dilated and has normal morphology.3.Moderate ascites appearing similar to prior.4.Atrophic kidneys bilaterally.5.Partially visualized cardiomegaly.