26-year-old female with dropping hemoglobin and recent history of groin catheter placement. Evaluate for left retroperitoneal hematoma ABDOMEN:LUNG BASES: Bilateral large pleural effusions and dependent atelectasis, new from previous study.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: Pancreas demonstrates fatty atrophy. The pancreatic duct in the tail is significantly dilated, measuring up to 12-mm. In the mid body SPECT its normal size. This finding is new from previous study. There is inflammation of the pancreatic tail. These findings may be secondary to pancreatitis. A solid lesion causing pancreatic ductal stricture cannot be excluded. No evidence of calcification. The pancreas. Further evaluation of this finding with MRI is recommended.ADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Atrophic bilateral kidneys.RETROPERITONEUM, LYMPH NODES: Left-sided common femoral venous catheter extends into the super renal IVC. No evidence of retroperitoneal hematoma.BOWEL, MESENTERY: Generalized ascites.BONES, SOFT TISSUES: Generalized anasarca.OTHER: No significant abnormality notedPELVIS:UTERUS, ADNEXA: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: Generalized anasarca.OTHER: Generalized ascites.
Interval dilatation of the pancreatic duct in the tail and associated peripancreatic minimal inflammatory findings. M.R.C.P. is recommended for further evaluation of the pancreatic duct. Fatty replacement of the pancreas.Bilateral pleural effusions, ascites, and generalized anasarca.