Acute pancreatitis, denies history chronic pancreatitis, dilated pancreatic duct, cholelithiasis/?cystitis, evaluate for stones, lesions. ABDOMEN:LIVER, BILIARY TRACT: Multiple T2 hyperintense foci compatible with simple cysts. Liver is otherwise unremarkable. Gallbladder is filled with tiny stones. There is gallbladder wall edema and mild pericholecystic fluid. Slight dilation of the common duct. Choledocholithiasis is identified (series 401, image 24; series 601, image 16).SPLEEN: No significant abnormality noted.PANCREAS: Mild pancreatic ductal dilatation is noted. No pancreatic lesion is present.ADRENAL GLANDS: No significant adrenal nodularity or thickening.KIDNEYS, URETERS: No focal renal lesion.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Small bilateral pleural effusions are noted.
1.Choledocholithiasis with slight common bile duct dilatation and mild pancreatic duct dilatation. Pancreatic ductal dilatation may be due to choledocholithiasis.2.No obstructing mass lesion is identified.3.Gallbladder wall edema and pericholecystic fluid; right upper quadrant ultrasound may be considered if there is clinical concern for cholecystitis.