History of renal transplant complicated by postoperative MI and perforated diverticulitis status post Hartman's now with rising LFTs. ABDOMEN: The study is slightly limited by respiratory motion.LIVER, BILIARY TRACT: Contracted gallbladder containing gallstones. Numerous small stones in the distal cystic duct and within the common bile duct. No significant upstream biliary ductal dilatation.No suspicious liver lesion. Evaluation of the vasculature is limited respiratory motion. The main portal vein is grossly patent.SPLEEN: No significant abnormality noted.PANCREAS: The pancreas is atrophic with mild loss of intrinsic T1-weighted signal intensity. Peripancreatic inflammatory fluid and smaller collections are noted. The largest extends along the ventral aspect of the pancreatic body cranially measuring up to 4.0 x 2.9 cm in maximal cross-section and demonstrating T2 hyperintense fluid signal intensity.Note is made of pancreatic divisum. No significant pancreatic ductal dilatation. The parenchyma enhances homogeneously without evidence of parenchymal necrosis or hemorrhage. No evidence of arterial pseudoaneurysm formation.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral simple appearing cysts. No hydroureteronephrosis.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Moderate bilateral pleural effusions.
1.Contracted gallbladder with numerous gallstones. Choledocholithiasis without upstream significant biliary ductal dilatation.2.Stigmata of pancreatitis including peripancreatic inflammatory fluid and small fluid collections. Pancreas divisum.3. Moderate bilateral pleural effusions. 