Gall bladder shows 3 calculi, largest measuring 5.0 mm. The cystic duct is normal.
T2 hyperintense tubular collection is seen in the distal body of pancreas, extending superiorly through the esophageal hiatus (to the left of the gastroesophageal junction) with severely narrow communication with the left pleural cavity. The collection measures 2.1 x 1.1 x 6.7 cms (AP x TR x CC). The collection is also communicating with pancreatic duct with severe narrowing at the level of communication. Features are consistent with pancreaticopleural fistula.
There is chronic thrombosis of entire portal vein and splenic vein with multiple periportal and perisplenic venous collaterals.
CBD = 8.2 mm, mildly dilated – due to pericholedochal venous collaterals. No evidence of obstructive lesion in the CBD/CHD. Both right and left hepatic ducts are normal.
Gross left pleural effusion is noted with organised hemorrhagic contents in left posterior CP recess.
Mild splenomegaly is noted.