Reason: patient w/ known cholelithiasis, here with lipase elevation, abdominal pain, concern for gallstone pancreatitis, evaluate for stone. ABDOMEN:LIVER, BILIARY TRACT: Scattered subcentimeter T2 hyperintense foci compatible with cysts. No intra or extrahepatic biliary ductal dilatation. Distended gallbladder containing large intraluminal stones.SPLEEN: No significant abnormality noted.PANCREAS: There is restricted diffusion of the pancreas suggestive of acute pancreatitis, which is most evident at the pancreatic head (axial series 12 image 26). No drainable fluid collection.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Right parapelvic cyst. No hydronephrosis.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.Restricted diffusion of the pancreas suggestive of acute pancreatitis. No drainable fluid collection. The exam is limited due to the lack of intravenous contrast.2.Cholelithiasis.