Female; 20 years old. Reason: please eval for Hepatobiliary/ pancreatic abnormalites. requested by Liver service. Liver MRI also ordered, History: 20 yo F with hx of Biliary obstruction at birth (uncertain dx, got Liver imaging and biopsy here at UC 1995), admitted with gallstone pancreatitis, many GB stones, unusual presentation. ABDOMEN:LIVER, BILIARY TRACT: No suspicious hepatic lesions. No biliary ductal dilation. Multiple gallstones. There is peri-cholecystic fluid which extends as ascites around the liver.SPLEEN: No significant abnormality noted.PANCREAS: No focal pancreatic lesions. No pancreatic ductal dilation.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: Mild perihepatic ascites, nonspecific.
Cholelithiasis and mild nonspecific perihepatic ascites, but otherwise unremarkable examination.