Reason: Gall stone pancreatitis History: Pancreatitis ABDOMEN:LIVER, BILIARY TRACT: Subcentimeter T2 hyperintensity, likely a cyst. Common bile duct appears normal without stones.SPLEEN: No significant abnormality noted.PANCREAS: There is a multiloculated cystic lesion within the lesser sac along the lesser curvature which measures 3.4 x 2.8 cm (501/29), previously 3.4 x 3.1 cm. This lesion demonstrates low ADC and peripheral enhancement. There is a sinus tract approaching the main pancreatic duct, however no definite communication is evident.There is focal dilatation of the mid pancreatic duct up to 5 mm with narrowing within the head, likely representing a structure.The body and tail the pancreas demonstrates low T1 signal, increased T2 signal and mild peripancreatic edema consistent with acute pancreatitis. No evidence of necrosis. Portal venous system is intact. No pseudoaneurysms.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.Pseudocyst formation within the lesser sac, similar to the prior CT.2.Abnormal signal and adjacent edema in the pancreatic tail is suggestive of acute pancreatitis.3.Focal narrowing in the pancreatic head with associated ductal dilatation, likely representing a stricture.