Reason: 59F, episode off necrotizing pancreatitis march 2015 (images on PACS) with 9cm pseudocyst and SMV and PVT. Chole 30 years ago, rule out stones and lesion and evaluate PFC. Perform with gadolinium, thanks History: pain ABDOMEN:LIVER, BILIARY TRACT: Postsurgical changes of a cholecystectomy. Mild intrahepatic biliary ductal dilatation. Questionable focal narrowing of the right main biliary duct (series 6 image 71). The main portal vein is attenuated at the level of the pancreatic fluid collection due to mass effect, although patent. The left portal vein is not visualized in its entirety, although the proximal portion is patent. The SMV is patent.SPLEEN: No significant abnormality noted.PANCREAS: Within the pancreatic head and body, there is a 8.4 x 5.9 x 10 cm complex fluid collection (series 10 image 17, series 9 image 11) compatible with a pseudocyst. Additional peripancreatic cystic lesion measures 2.9 x 4.4 x 6.9 cm (series 10 image 14 and series 9 image 18) compatible with a peripancreatic pseudocyst.The remainder of the pancreas demonstrates loss of intrinsic T1 hyperintense signal with normal enhancement suggestive of parenchymal dysfunction. Edema within the peripancreatic fat likely reflects resolving pancreatitis. Punctate T2 hyperintense focus in the pancreatic head that communicates with the pancreatic duct compatible with a side branch IPMN. 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.Large 10 cm pancreatic pseudocyst. Additional 4 cm peripancreatic pseudocyst.2.Peripancreatic edema likely representing resolving pancreatitis. 3.Main portal vein and superior mesenteric veins are patent.4.No suspicious lesions. 