Male; 58 years old. Reason: assess for excursion of drain History: bilious fluid in pancreatic cyst drain ABDOMEN:LUNG BASES: Moderate left pleural effusion with increased left basilar nonspecific atelectasis/consolidation, for which underlying aspiration or infection cannot be excluded. Small right pleural effusion with mild compressive right basilar subsegmental atelectasis. LIVER, BILIARY TRACT: Postsurgical changes from side-to-side choledochojejunostomy. The anastomosis is widely patent. Minimal biliary tree dilation is seen without evidence of obstructing lesion.SPLEEN: No significant abnormality noted.PANCREAS: Mild likely chronic dilation of the pancreatic duct. No evidence of obstructing mass, but correlation with most recent endoscopic findings is recommended.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Status post cyst gastrostomy and percutaneous catheter placement with two drainage catheters and appearance of left upper quadrant bilobed cystic structure grossly unchanged since prior CT. Mild to moderate nonspecific circumferential bowel wall thickening of the transverse duodenum, which may be at least partially attributable to underdistention.BONES, SOFT TISSUES: Body wall anasarca.
1.Postsurgical changes from choledochojejunostomy with widely patent anastomosis. Minimal biliary tree dilation without evidence of obstructing lesion.2.Nonspecific bowel wall thickening of the transverse duodenum, which may be causing partial obstruction with gastric reflux of bile, given the patient's clinical history of bilious fluid from gastrostomy tube.3.Catheter placement and essentially stable left upper quadrant bilobed cystic structure.4.Stable mild and likely chronic pancreatic ductal dilation without evidence of obstructing mass, but correlation with most recent endoscopic findings is recommended.