62 year old female with pancreatitis evaluate for biliary dilatation, gallstones or ascites. LIVER: Liver is normal in size and echotexture without gross cirrhotic morphology. No focal mass.GALLBLADDER, BILIARY TRACT: The gallbladder contains dependent gallstones and sludge without gross wall thickening or pericholecystic fluid. The gallbladder is not distended. The common bile duct is normal in caliber although not cannot be followed beyond the porta. There is no gross intrahepatic delayed tract dilatation on today's studyPANCREAS: Pancreas is grossly abnormal and enlarged with central hypoechoic area consistent with necrosis versus abscess. Internal gas is identified. There is infiltrative change in the adjacent fat.RIGHT KIDNEY: No significant abnormalities noted.OTHER: Limited views of the left kidney demonstrate no abnormality.Mild splenomegaly with focus of accessory splenic tissue.Right pleural effusion.
Findings of acute pancreatitis without ascites. Pancreatic necrosis.Gallstones without gross biliary dilatation or stone.