Male; 58 years old. Reason: Evaluate for ductal dilitation/stone impaction in the setting of likely gallstone pancreatitis History: Abdominal pain, pancreatitis on imaging ABDOMEN:LIVER, BILIARY TRACT: No focal hepatic lesions. No intrahepatic biliary ductal dilation. Cholelithiasis with multiple gallstones seen in the region of the gallbladder neck. Mild nonspecific gallbladder wall thickening. A small T2 dark filling defect is seen within the proximal cystic duct, suspicious for cystic duct stone (series 1201/26). A small T2 dark filling defect is seen within the proximal common hepatic duct, suspicious for common duct stone (series 1201/27). Common duct is mildly diffusely dilated measuring up to 10 mm. No evidence of distal impacted stone at the level of the ampulla.SPLEEN: No significant abnormality noted.PANCREAS: Nearly diffuse pancreatic edema, compatible with acute pancreatitis. No focal pancreatic lesions. No pancreatic ductal dilation.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Right renal cysts and other too small to characterize T2 hyperintense lesions in both kidneys, likely additional cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Dilation of upper abdominal small bowel loops, suggestive of ileus.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Large amount of abdominal ascites.
1.Acute pancreatitis.2.Mild dilation of the common duct with findings suspicious for small stones in the cystic and common ducts.3.Findings suggestive of ileus.