History of pancreatitis and elevated LFTs. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in morphology, signal intensity and size, measuring 20 cm in craniocaudal dimension. No intra or extrahepatic biliary ductal dilatation. Minimal perihepatic fluid.The gallbladder is normally distended with several gallstones. No gallbladder wall thickening. There is mild pericholecystic fluid. No choledocholithiasis.SPLEEN: The spleen is normal in size and morphology without a discrete lesion.PANCREAS: The pancreas is mildly decreased in intrinsic T1 signal intensity at the level of the pancreatic head and uncinate process. There is mild heterogeneous enhancement of the pancreatic head/uncinate process with the remainder the pancreas is enhancing homogeneously without evidence of pancreatic necrosis. There is moderate peripancreatic inflammatory fat stranding and fluid. No loculated fluid collection.No evidence of venous thrombus or arterial pseudoaneurysm formation.The main pancreatic duct is normal in caliber and inserts with the common bile duct at the major papilla.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Subcentimeter retroperitoneal lymph nodes may be reactive. Enteric tube noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Small right greater than left pleural effusion with adjacent consolidation/atelectasis.
1. Mild acute interstitial edematous pancreatitis without evidence of pancreatic necrosis, significant fluid collection, arterial or venous complication. 2. Cholelithiasis without evidence of acute cholecystitis or choledocholithiasis. The etiology of the pancreatitis is not apparent on this study but may be related to a passed gallstone.3. Small right greater than left pleural effusion with adjacent consolidation/atelectasis.