28-year-old man with history of cystic fibrosis status post lung transplant, now with elevated LFTs and alkaline phosphatase. Please note that this examination is limited by patient motion and noncontrast technique.ABDOMEN:LIVER, BILIARY TRACT: The liver appears normal. There is no intra or extrahepatic biliary duct dilatation. There are small layering stones in the gallbladder, but no evidence of cholecystitis.SPLEEN: There is an 8 mm splenic cyst (series 6, image 30). The spleen is at the upper limits of normal size.PANCREAS: The pancreas is atrophic. A subcentimeter cystic focus near the ampulla is thought to represent a pancreatic duct remnant or very small IPMN.ADRENAL GLANDS: The adrenal glands are normal.KIDNEYS, URETERS: There are subcentimeter renal cyst, otherwise the kidneys appear normal.RETROPERITONEUM, LYMPH NODES: No significant lymphadenopathy noted.BOWEL, MESENTERY: The partially visualized small bowel and colon are normal.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Surgical clip is noted near the greater curvature of the stomach. The pulmonary veins are prominent, probably related to prior lung transplant.
1.Cholelithiasis without cholecystitis. 2.No intra or extrahepatic biliary duct dilatation.3.Atrophic pancreas compatible with history of cystic fibrosis.