3-year-old female with history of nonaccidental trauma leading to liver laceration or traumatic pancreatitis with pseudocysts measuring 2 x 3.3 cm on outside hospital MRI, presenting with abdominal pain, evaluate. LIVER:There is liver is normal in echotexture and size. No intrahepatic biliary dilatation is identified. Portal vein has normal direction velocity and direction of flow.GALLBLADDER, BILIARY TRACT: Gallbladder is normal in appearance. Common bile duct measures 0.23 cm in diameter.PANCREAS: Complex cystic collection adjacent to the pancreas measuring 3.5 x 3.0 x 3.2 cm compatible with pseudocyst reported on prior MRI. The pancreas is not visualized due to bowel gas.SPLEEN: The spleen is normal in size and echotexture, measuring 7.4 cm in length.KIDNEYS: The right kidney is normal in echotexture and size and measures 7.6 cm in length. The left kidney is normal in echotexture and measures 7.4 cm in length.ABDOMINAL AORTA: Abdominal aorta is normal in size, direction and velocity of flow.INFERIOR VENA CAVA: Inferior vena cava is normal in appearance.OTHER: Small amount of ascites is noted in the upper abdomen.
Complex cystic collection adjacent to the pancreas measuring 3.5 x 3.0 x 3.2 cm, compatible with pancreatic pseudocyst with small amount of ascites in the upper abdomen.