30-year-old female. Evaluate for biliary obstruction, acute pancreatitis, elevated LFTs. ABDOMEN:LIVER, BILIARY TRACT: Subcentimeter T2 hyperintense signal of the hepatic parenchyma (series 5 image 15) could represent a cyst versus hemangioma and further evaluation is limited due to the lack of intravenous contrast. Cholelithiasis without evidence for acute cholecystitis. No intra or extrahepatic biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: Diffuse thickening/edema of the pancreatic parenchyma with severe peripancreatic fluid collections. No definite evidence for parenchymal necrosis. No significant pancreatic ductal dilatation. There is some restricted diffusion compatible with acute pancreatitis.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Extensive fluid signal in the retroperitoneal and intraperitoneal compartments.BOWEL, MESENTERY: No bowel obstruction.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Edematous pancreatic parenchyma with extensive fluid in the retroperitoneal and intraperitoneal compartments. Findings compatible with acute pancreatitis.2.Cholelithiasis without evidence for acute cholecystitis. Normal bile ducts.