24 year old female with RUQ pain and elevated lipase. Assess for pancreatitis and liver inflammation. ABDOMEN:LUNG BASES: Mild bibasilar atelectasis. LIVER, BILIARY TRACT: Mild hepatomegaly. No intrahepatic biliary ductal dilatation. No focal lesions within the liver. Gallbladder is markedly distended with multiple gallstones. No gallbladder wall thickening. No stent identified within the common bile duct. The patient underwent ERCP with balloon angioplasty of a CHD biliary duct stenosis and removal of CBD stent on 12/21/2011. SPLEEN: Moderate splenomegaly. Solid, heterogeneous mixed signal intensity mass arising in the spleen, measures 6.6 x 5.4 cm appears stable since the most recent MRI exam.PANCREAS: Pancreatic duct is not dilated. No definite findings of acute pancreatitis. ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted
Hepatosplenomegaly. CBD stent is not seen. No definite evidence of pancreatitis. Stable solitary splenic lesion. Cholelithiasis without evidence of cholecystitis. 