Evaluate for cystic duct stump leak. Patient has a drain in the cholecystectomy bed. ABDOMEN:LIVER, BILIARY TRACT: The patient is status post cholecystectomy. The cystic duct remnant is identified. Within the cholecystectomy bed there is a pigtail percutaneous drainage catheter within a collapsed gallbladder fossa which measures 4.2 x 1.3 cm with no significant fluid, improved from the prior.There is no evidence of hepatobiliary agent spillage into the cholecystectomy bed or abdomen. No biliary ductal dilatation with contrast being excreted into the duodenum. No focal suspicious lesion. The main portal vein is patent.SPLEEN: Chronic splenic vein thrombosis with perisplenic collateral vessels.PANCREAS: Pancreatic fluid collection measures 1.9 x 1.1 cm along the superior anterior aspect of the pancreatic body (series 5/25), decreased from 2.6 x 1.0 cm previously. Aside from the pancreatic head there is decreased intrinsic T1 weighted signal intensity of the pancreatic parenchyma likely related to prior pancreatitis. Mild peripancreatic fat stranding is noted. 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: Discoid right mid lung atelectasis.
1.Percutaneous drainage catheter in the cholecystectomy fossa with no measurable fluid collection. No evidence of cystic duct stump leak. No biliary ductal dilatation.2.Interval decrease in size of the pancreatic pseudocyst, currently measuring 1.9 x 1.1 cm. Minimal peripancreatic inflammatory changes.