Abdominal pain, nausea and vomiting. History of laparotomy 20 years ago.
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Peripancreatic inflammatory fat stranding as well is a moderate volume of retroperitoneal free fluid. A small amount of mesenteric and perihepatic fluid is also demonstrated. The gallbladder is distended, with multiple radioopaque gall stones. No pancreatic lesion is detected. No evidence of pancreatic necrosis. The common bile duct is visualized does not appear to be dilated. No intrahepatic bile duct dilatation. No evidence of a pseudoaneurysm, splenic or portal vein thrombosis. The liver, spleen, adrenals and right kidney are within normal limits. The left kidney is atrophic, with evidence of cortical scarring. No hydronephrosis. Apart from colonic fecal loading, bowel is unremarkable. No pneumoperitoneum.
Features are typical of acute pancreatitis, secondary presumably to gallstones.
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