History of gallstone pancreatitis status post cholecystectomy now with rising LFTs. ABDOMEN:LIVER, BILIARY TRACT: Borderline enlarged liver measuring 23 cm in craniocaudal dimension. No intra or extrahepatic biliary ductal dilatation with the common duct measuring up to 6 mm which tapers smoothly to the ampulla. No filling defect to suggest a stone.Status post cholecystectomy with minimal fluid in the surgical bed.Minimal perihepatic fluid, likely postsurgical.SPLEEN: No significant abnormality noted.PANCREAS: The pancreas parenchyma demonstrates mildly decreased T1-weighted signal intensity, however it enhances homogeneously without evidence of necrosis. There is mild peripancreatic inflammatory fluid without a loculated fluid collection. No evidence of arterial pseudoaneurysm or venous thrombosis.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Mildly prominent retroperitoneal lymph nodes.BOWEL, MESENTERY: Small volume abdominopelvic ascites.BONES, SOFT TISSUES: Postsurgical changes of the right anterolateral abdominal wall.OTHER: Bibasilar atelectasis and small effusions. Note is made of mild cardiomegaly and increased size of the inferior vena cava and hepatic veins.
1.Interval cholecystectomy. Findings of mild acute interstitial edematous pancreatitis without a significant peripancreatic fluid collection arterial or venous complication. No choledocholithiasis.2.Small effusions and basilar atelectasis.3.Perihepatic ascites.4.Cardiomegaly and findings suggestive of increased right sided heart pressures. 