Acute pancreatitis

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.