Reason: ascending cholangitis? History: GNR sepsis, fever, tachycardia, pancreatitis ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver morphology. 1.2 cm right hepatic T2 hyperintensity corresponds to ill-defined hypodense lesion seen on prior CT (701/27). No new lesion was identified to correspond to left hepatic hypodensity seen previously.Gallbladder is mildly dilated containing sludge. No evidence of cholelithiasis or choledocholithiasis. Common bile duct measures 7 mm, likely within normal limits for ageSPLEEN: No significant abnormality noted.PANCREAS: Dilated main pancreatic duct with diffuse atrophy, suggestive of chronic pancreatitis.. Multiple dilated tubular structures in the pancreatic head are favored to represent dilated side branches.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral T2 hyperintensities, likely cystsRETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Concentric bowel wall thickening in the cecum appears grossly similar to the prior CT.BONES, SOFT TISSUES: Diffuse anasarca.OTHER: Moderate ascites.
1.Exam was terminated due to patient discomfort and postcontrast images were not obtained.2.No evidence of ascending cholangitis.3.Findings of chronic pancreatitis.4.Cirrhotic liver morphology with right hepatic T2 hyperintensity which is nonspecific without intravenous contrast.5.Moderate abdominal ascites.6.Diffuse circumferential cecal wall thickening is nonspecific but appears similar to the prior exam, possibly a portal colopathy or nonspecific colitis.