Severe pancreatitis with transaminitis, evaluate for biliary stone or obstruction ABDOMEN:LIVER, BILIARY TRACT: No focal hepatic lesions. The hepatic and portal veins are patent.No intra or extrahepatic biliary ductal dilation. The common bile duct is normal in caliber and morphology without evidence of choledocholithiasis.SPLEEN: No significant abnormality noted.PANCREAS: Moderate to severe peripancreatic edema consistent with acute pancreatitis. The main pancreatic duct is normal in caliber morphology.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: There is a focus of fat signal intensity with peripheral rim enhancement abutting the anterior margin of the left hepatic lobe most compatible with fat necrosis (series 1301, image 243).BONES, SOFT TISSUES: No significant abnormality noted.
1.Normal caliber and morphology of the common bile duct without evidence of choledocholithiasis.2.Moderate to severe acute pancreatitis without evidence of complications. 