Demographics:
37 years old, Female
Indication:
Right upper quadrant pain
Findings
Lower chest
- Mild dependent atelectasis
- 10 mm peripherally enhancing structure along the posterior wall of the distal thoracic esophagus
Abdomen/Pelvis
- Edematous appearance of the pancreatic head with adjacent stranding obscuring the normal fat plane separating the pancreas and duodenum
- Hyperattenuating material in the gallbladder likely relating to vicarious excretion of contrast material (the patient had had a recent outside contrast-enhanced CT)
- Colonic diverticulosis
- Appendectomy
MSK
- No acute findings
Diagnosis
Paraduodenal pancreatitis
Sample Report
Findings concerning for acute paraduodenal pancreatitis with isolated inflammation involving the pancreatic head. No peripancreatic collection or ductal dilation.
Small peripherally enhancing structure along the posterior wall of the lower thoracic esophagus, which could represent a small diverticulum or duplication cyst. Recommend outpatient gastroenterology referral for further evaluation.
Discussion