Evaluate for choledocholithiasis. Right upper quadrant pain. ABDOMEN:LIVER, BILIARY TRACT: Numerous small gallstones within a normally distended gallbladder. Some of the gallstones are at the level of the gallbladder neck. No gallbladder wall thickening, edema or pericholecystic inflammatory changes.No intra or extrahepatic biliary ductal dilatation. No filling defect to suggest a stone or mass in the common bile duct. The liver is normal morphology, size, signal intensity and enhancement without a focal lesion or vascular abnormality.SPLEEN: No significant abnormality noted.PANCREAS: The pancreas is normal in morphology. It demonstrates mild T2-weighted hyperintensity, compatible withe edema. There is mild peripancreatic inflammatory fluid. The main pancreatic duct is not well seen. No loculated fluid collection, evidence of pancreatic parenchymal necrosis, hemorrhage or vascular abnormality.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Diastases of the lower anterior abdominal wall musculature.OTHER: No significant abnormality noted.
1.Cholelithiasis with numerous small gallstones without specific evidence of acute cholecystitis.2.No choledocholithiasis.3.Mild acute interstitial edematous pancreatitis with peripancreatic inflammatory changes but no fluid collection, necrosis, hemorrhage or vascular complication.