Acute pancreatitis. Evaluate pancreas and biliary tree further. ABDOMEN:LIVER, BILIARY TRACT: The liver is smooth in contour and normal in morphology. Within segment 7, there is a 5 mm T2 hyperintense, nonenhancing lesion, too small to characterize but probable cyst (series 701, image 24). No additional lesion is identified. The gallbladder is unremarkable. No intra or extrahepatic ductal dilatation is identified.SPLEEN: No significant abnormality noted.PANCREAS: Pancreatic parenchymal and peripancreatic (mild) edema, compatible with acute pancreatitis. Pancreas divisum seen. Nondilated pancreatic duct. No evidence of organizing fluid collection.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Diffuse colonic wall thickening, better identified on recent CT.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
No evidence of sclerosing cholangitis.Findings consistent with acute pancreatitis, no organizing fluid collection. Pancreas divisum seen. Diffuse colonic wall thickening better visualized on recent CT, consistent with history of ulcerative colitis.