Persistent abdominal pain and elevated lipase/amylase. History of SMA stent. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in morphology, size and signal intensity. There are several T2 hyperintense lesions compatible with hepatic cysts. Right hepatic dome/Segment VIII (series 10/image 23) 8 mm intrinsically T1 weighted hyperintense lesion with T2 weighted hyperintensity. The intrinsic T1 weighted hyperintensity limits evaluation of enhancement.There is mild extrahepatic biliary ductal dilatation with the common bile duct measuring 11 mm. It tapers smoothly to the level of the ampulla. This may be related to cholecystectomy.SPLEEN: Stable nonspecific cystic lesion in the pancreas measuring 1.9 cm.PANCREAS: The pancreas is normal in morphology, signal intensity and enhancement. No peripancreatic inflammation or vascular complication. No peripancreatic fluid collections. Normal pancreatic duct.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Simple left renal cyst. No hydronephrosis or suspicious renal lesion.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Probable small pleural effusions.
1.No evidence of pancreatitis or related complication.2. Nonspecific 8 mm right hepatic dome intrinsically T1 hyperintense lesion. In the absence of chronic liver disease, benign etiology is favored.3. Mild biliary ductal dilatation is not unexpected in the setting of cholecystectomy. No focal mass lesion or choledocholithiasis.4. Stable nonspecific cystic splenic lesion, statistically likely benign.5. Probable small pleural effusions.