Female 42 years old Reason: pancreatitis, evaluate for stones in gallbladder and pancreas History: pancreatitis and history pancreatic stones ABDOMEN:LIVER, BILIARY TRACT: Liver is normal in morphology. There are multiple small T2 hyperintense lesions throughout both lobes. No definite restricted diffusion in the lesions. Have a thin enhancing wall which may represent compressed hepatic parenchyma. Given the size and number these likely represent biliary hamartomas.Gallbladder wall is mildly thickened. No evident biliary calculi. Common bile duct is normal in caliber. No filling defects to suggest stones.Intrahepatic portal vein and hepatic veins are patent.SPLEEN: Splenic vein near the splenic hilum is likely reconstituted by collaterals. Spleen is normal in size.PANCREAS: Pancreatic parenchyma in the body and tail are atrophic. There is pancreatic inflammation involving the body and tail in the setting of chronic inflammation. The pancreatic duct is dilated measuring up to 11 mm with filling defects in the head of the pancreas representing stones that are seen on the CT scan. There is a stricture in the pancreatic duct about the level of the occluding stone. The pancreatic duct in the head is dilated but to a lesser degree measuring 5 mm.There is a pancreatic tail fluid collection which may represent a blown out tail duct or pseudocyst measuring 3.1 x 2.2 cm this is in connection with the pancreatic duct.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.Findings of acute on chronic pancreatitis with a occluding stone in the pancreatic duct about the head of the pancreas.2.Pancreatic tail collection representing blown out pancreatic duct or pseudocyst.3.No specific evidence for cholelithiasis or choledocholithiasis.4.Hepatic lesions likely represent multiple biliary hamartomas.