Acute pancreatitis, evaluate pancreatic anatomy. ABDOMEN:LUNG BASES: Basilar atelectasis/consolidation and a small right pleural effusion persist.LIVER, BILIARY TRACT: The liver demonstrates normal parenchymal signal without focal lesions. The hepatic vasculature appears patent. No biliary ductal dilatation. The gallbladder wall is edematous and thickened. No gallstones are identified.SPLEEN: The spleen is normal in size without focal lesions. The splenic vasculature appears patent.PANCREAS: The pancreas demonstrates a normal morphology and equivocally decreased T1 signal diffusely. The pancreas enhances normally without focal lesions or evidence of necrosis. The pancreatic duct is not dilated.ADRENAL GLANDS: No adrenal lesions are identified.KIDNEYS, URETERS: The kidneys enhance symmetrically without focal lesions. No hydronephrosis.RETROPERITONEUM, LYMPH NODES: No retroperitoneal lymphadenopathy is identified.BOWEL, MESENTERY: Gastrostomy tube tip is in the stomach. An enteric tube is present with tip in the mid duodenum.BONES, SOFT TISSUES: Postsurgical changes are present in the right abdominal wall related to prior shunt catheter.OTHER: Small-moderate amount of abdominal pelvic ascites appears similar to recent CT.
1.Small-moderate volume abdominal pelvic ascites, similar to prior. No evidence of abscess or pancreatic pseudocyst. No forthcoming anatomic cause of patient's pancreatitis.2.Persistent dependent consolidation/atelectasis and small right pleural effusion.3.Gallbladder wall thickening which is non-specific but may be related to edema state. 