History of acute pancreatitis and gallstones. ABDOMEN:LUNG BASES: Post-sternotomy changes.LIVER, BILIARY TRACT: Normal liver morphology. No focal hepatic lesion, biliary ductal dilatation or vascular abnormality. Normally distended gallbladder containing large gallstones without gallbladder wall thickening, pericholecystic fluid or other inflammatory changes.The common bile duct is normal in caliber.SPLEEN: No significant abnormality noted.PANCREAS: There is mild decrease in T1 weighted pancreatic parenchymal signal suggesting parenchymal dysfunction. The pancreas enhances homogeneously following contrast administration. No peripancreatic fluid collection. No arterial or venous complication. 8 x 8 mm cystic lesion in the pancreatic body (series 501/27), likely a sidebranch IPMN.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Left renal cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: A left anterolateral bladder diverticulum is noted.
1. Large gallstones within a normally distended gallbladder without evidence of acute cholecystitis. No choledocholithiasis.2. Decreased T1-weighted pancreatic parenchymal signal suggesting parenchymal dysfunction compatible with stated history of acute pancreatitis without evidence of complication.