Female 69 years old Reason: elevated alk phos, ultrasound with chronic pancreatitis in 2002 History: abdominal pain ABDOMEN:LIVER, BILIARY TRACT: Liver is normal in morphology. No suspicious hepatic lesions. Hepatic and portal veins are patent. Status post cholecystectomy. There is mild dilatation of the common bile duct measuring up to 11 mm. No discrete calculi is identified.SPLEEN: Spleen is normal in sizePANCREAS: Pancreas is normal in morphology. Pancreatic duct is normal in caliber. No peripancreatic fluid. No fluid collections.] Enhance homogeneously.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Kidneys are normal in morphology. Hypoattenuating subcentimeter right renal lesion measures 8 mm. The lesion does not meet the criteria for simple cyst and has possible subtle internal enhancement.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.
1.No evidence of acute or chronic pancreatitis. Pancreatic duct is normal in morphology.2.Mildly dilated common bile duct following cholecystectomy without intrahepatic biliary ductal dilatation.3.No suspicious hepatic lesions.4.8 mm indeterminate right renal lesion for which a 12 month follow-up is suggested.