19 years, Female, Reason: evidence of gallstone pancreatitis History: elevated lipase, N/V. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is a segment 3 lesion measuring 2.2 x 2.2 cm which is bright on T2 weighted images, shows diffusion restriction and demonstrates faint enhancement that was not evident on the prior exam. No fat is evident within the lesion.Status post cholecystectomy. Common bile duct is mildly prominent measuring 6 mm. Pancreatic duct appears normal. No evidence of pancreatic divisum.SPLEEN: No significant abnormality noted.PANCREAS: There is diffusion restriction and low T1 signal throughout the pancreas with mild peripancreatic edema, compatible with acute pancreatitis. No focal fluid collections.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Mild bilateral pelvic caliectasis.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Intrauterine pregnancy seen previously is no longer evident.
1.Findings compatible with acute pancreatitis.2.Mildly enhancing hepatic lesion may represent a perfusion abnormality or focal nodular hyperplasia, however an adenoma is also a differential consideration. Follow-up MRI in 6 months with FNH protocol is recommended.