Wk 2, Case 1 - Review

PATIENT HISTORY: Epigastric pain

Study: CT abdomen and pelvis with intravenous contrast

INDICATION: Abdominal pain.

COMPARISON: None.

TECHNIQUE: CT images of the abdomen and pelvis were obtained after the administration of intravenous contrast.

FINDINGS:

Lung bases: Atelectatic changes are present at the lung bases.

Hepatobiliary: Liver is unremarkable. Patient is status post cholecystectomy.

Pancreas: Peripancreatic fluid and fat stranding is present, compatible with acute interstitial edematous pancreatitis.

Spleen: Unremarkable.

Adrenal glands: Unremarkable.

Kidneys: Right renal cyst and bilateral too small to characterize renal hypodensities are noted.

Bowel: No bowel obstruction.

Abdominal and pelvic lymph nodes: No lymphadenopathy.

Peritoneum: Fluid is noted tracking along the retroperitoneal fascial planes. No organized collections are identified.

Vasculature: No abdominal aortic aneurysm. The portal, splenic and superior mesenteric veins are patent.

Pelvis: No mass.

Musculoskeletal system and soft tissue: No aggressive osseous lesion.

IMPRESSION:

Acute pancreatitis.