Female; 34 years old. Reason: gallstones, pancreatitis History: lipase >3000, gallstone on bedside u/s ABDOMEN:LIVER, BILIARY TRACT: No focal hepatic lesions.Multiple small gallstones. Mild pericholecystic fluid and gallbladder wall thickening, which could be due to early acute cholecystitis. Normal caliber of the biliary tree. Common bile duct and distal cystic duct appear patent without evidence of choledochalithiasis.SPLEEN: No significant abnormality noted.PANCREAS: Severe acute pancreatitis with diffuse interstitial pancreatic edema and large amount of peripancreatic free fluid, particularly in the left upper quadrant. No loculated fluid lesions. No pancreatic hemorrhage. Mild patchy enhancement of the pancreas due to pancreatitis. No evidence of pancreatic necrosis. No pancreatic ductal dilation. Splenic vein is patent. No splenic artery pseudoaneurysm is evident.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: No significant abnormality noted.OTHER: No significant abnormality noted.
1. Severe acute pancreatitis as detailed above.2. Mild pericholecystic fluid and gallbladder wall thickening, which could be due to early acute cholecystitis.Findings discussed with the GI fellow (Dr. Coronel) at 9:50 a.m. on 4/17/15.