74-year-old man with history of pancreatitis and small gallstones on CT. ABDOMEN:LIVER, BILIARY TRACT: Subcentimeter hepatic cysts noted. No additional focal hepatic lesions identified.The gallbladder is distended with a small amount of pericholecystic fluid and wall edema (9/17). Additionally, there are small T1 hyperintense, T2 hyperintense stones within the gallbladder.At the level of the ampulla (12/89) there is a 6 mm filling defect with dilation of the upstream common bile duct measuring up to 9 mm.The splenic vein and portal vein appear patent.SPLEEN: No significant abnormality noted.PANCREAS: The pancreas is edematous with diffusion restriction and increased T2 signal. Additionally, there is mild dilation of the main pancreatic duct.There is no evidence of pancreatic necrosis. The splenic artery appears patent without pseudoaneurysm. ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Multiple bilateral renal cysts are noted including a minimally complex, septated 25 mm cyst in the right superior pole (7/16). There is no enhancement or nodularity within this minimally complex cyst.No hydronephrosis.RETROPERITONEUM, LYMPH NODES: No significant lymphadenopathy noted.BOWEL, MESENTERY: The small bowel and colon appear normal.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.6 mm obstructing stone in the common bile duct at the level of ampulla.2.Acute pancreatitis without evidence of complication.3.Mild acute cholecystitis.4.Findings text paged to Dr. Stier at 11:45 on 10/17/2016.