Female 89 years old Reason: eval for stone History: gallstone pancreatitis. The absence of intravenous contrast limits evaluation of the solid organs and of the bowels. Given these limitations, the following observations were made:ABDOMEN:LIVER, BILIARY TRACT: Scattered T2 hyperintense lesions within the liver, many of which are too small to characterize. These are incompletely evaluated in the absence of contrast and may represent cysts/hemangiomas. A T2 hyperintense lesion adjacent to the gallbladder may represent an additional liver cyst/hemangioma or alternatively a gallbladder diverticulum. There are no gallstones. There is minimal left intrahepatic duct dilatation. The common duct is within normal limits.SPLEEN: No significant abnormality noted.PANCREAS: There is relatively good preservation of T1 hyperintense signal within the pancreatic body and tail with mild loss in the pancreatic head. The pancreas is mildly enlarged and edematous and demonstrates diffuse diffusion restriction which may reflect acute inflammation in the context of this patient with acute pancreatitis. There is a 6.1 x 1.0 cm pocket of elongated loculated fluid along the duodenum and pancreatic head. There is no pancreatic duct dilatation.Evaluation for vascular complications and for pancreatic necrosis is limited by lack of intravenous contrast.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Subcentimeter T2 hyperintensities are suggestive of renal cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: There is mild thickening of the wall of the first and second part of the duodenum which is likely secondary to the inflammatory process and may represent duodenitis.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Cardiomegaly. Small bilateral pleural effusions and compressive atelectasis. Mild ascites. Diffuse anasarca.
1.No gallstones.2.Findings consistent with acute pancreatitis and peripancreatic fluid collection. Evaluation for vascular complications and for pancreatic necrosis is limited by lack of intravenous contrast.3.Mild thickening of the wall of the first and second part of the duodenum which is likely secondary to the inflammatory process and may represent duodenitis.