60 year-old male history of left ureteral reimplant with cholelithiasis and right upper quadrant ultrasound, rising bilirubin and now with epigastric pain ABDOMEN:LIVER, BILIARY TRACT: No focal enhancing hepatic lesion is identified. Cholelithiasis with mild gallbladder wall thickening and trace pericholecystic fluid. No evidence of intra or extrahepatic biliary ductal dilatation. No choledocholithiasis.SPLEEN: No significant abnormality noted.PANCREAS: No evidence of pancreatic ductal dilatation. The pancreas is normal in morphology, T1 intrinsic hyperintensity, and enhancement. No abnormal T2 signal to suggest edema or inflammation.ADRENAL GLANDS: The adrenal glands are normal in size and morphology bilaterally.KIDNEYS, URETERS: Atrophic kidneys. Again noted is mild perinephric T2 hyperintensity consistent with inflammatory changes bilaterally, not changed compared to the CT examination. Mild to moderate left hydroureteronephrosis with partially visualized left nephroureteral stent.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Minimal free air predominantly around the liver is better appreciated on the CT examination. There is mild edema around the second portion of the duodenum.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Cholelithiasis with mild gallbladder wall thickening and small amount of pericholecystic fluid. Findings may represent early cholecystitis in the appropriate clinical setting versus may be related to recently passed stone. No choledocholithiasis.2.Mild edema around the second portion of the duodenum may be related to gallbladder pathology.3.Minimal pneumoperitoneum is better appreciated on the CT examination.Findings text paged to Dr. Aizen at 1100 hours.