Female 35 years old Reason: Elevated bilirubin in acute pancreatitis/ on TPN. Evaluate biliary system History: Elevated bilirubin in acute pancreatitis/ on TPN. Evaluate biliary system ABDOMEN:LIVER, BILIARY TRACT: Liver is normal in morphology. No focal hepatic lesions on the noncontrast exam. Patent vessel flow voids are seen in the main portal vein.Biliary tree is normal in caliber. No significant intrahepatic ductal dilatation. Common bile duct measures 7 mm. No definite evidence of choledocholithiasis.SPLEEN: No significant abnormality noted.PANCREAS: The pancreas is edematous compatible with acute pancreatitis. There is mild pancreatic ductal dilatation and slight sidebranch dilatation.Small foci of T2 hyperintense lesions in the pancreas likely represent either small intrapancreatic pseudocysts or dilated side branches.There is a fluid pocket between the pancreatic tail and the stomach measuring 5.2 x 2.4 cm on image 25/series 401 and may represent a pseudocyst.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No hydronephrosis in either kidney.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No bowel obstruction.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Small left pleural effusion.
1.No biliary ductal dilatation as clinically questioned. No evidence of choledocholithiasis.2.Findings of pancreatitis with a probable developing pseudocyst adjacent to the tail of the pancreas.