Reason: 71M s/p chole c/b recurrent pancreatitis and pseudocyst formation s/p drainage History: pancreatic pseudocyst, nausea, fatigue ABDOMEN:LIVER, BILIARY TRACT: Status post cholecystectomy. Small cysts in the periphery of segment 4A/8 and 6 are unchanged. No suspicious hepatic lesions.Common bile duct is minimally decreased in size measuring 7 mm in diameter, previously 9 mm. Circumferential thickening and enhancement of the wall of the common bile duct is similar to the prior exam.Intrahepatic biliary ductal dilatation with narrowing of the proximal common bile duct and distal right and left intrahepatic biliary ducts is overall similar to the prior exam.SPLEEN: No significant abnormality noted.PANCREAS: Interval cystoduodenostomy with placement of an AXIOS stent and resolution of the large cystic lesion in the region of the pancreatic head. Mass effect on the common bile duct from the large cyst has decreased. A cluster of smaller cysts more inferiorly measuring up to 1.7 x 1.2 cm appears similar in size to the prior exam.Dilated main pancreatic duct to 5 mm with multiple dilated side branches appear similar to the prior exam. Atrophy of the pancreatic tail is unchanged.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Mildly enlarged portacaval nodes measuring up to 1.5 cm (13011/526).BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Interval cystoduodenostomy with resolution of large cyst in the pancreatic head.2.Intrahepatic biliary ductal dilatation with stricturing of the proximal common bile duct and distal intrahepatic biliary ducts is unchanged. Hyperenhancement and thickening of the biliary wall is also unchanged and may be inflammatory in etiology.3.Findings suggestive of chronic pancreatitis are unchanged.