CHolecysto-duodenal fistula with mild acute groove pancreatitis

Minimal mural thickening at the posteromedial wall of the gastric pylorus and proximal duodenum at D1 segment with surrounding fat stranding- likely suggestive of peptic ulcer disease.

The medial wall of gallbladder appears to be closely adherent to the lateral wall of D1 segment of duodenum with minimal wall thickening in this region – possibility of developing cholecystoduodenal fistula cannot be entirely ruled out.

Subtle peripancreatic mesenteric fat stranding at the pancreaticoduodenal groove, anterior to the pancreatic neck – mild acute groove pancreatitis cannot be ruled out.

No evidence of free fluid or collection.

Recommend upper GI endoscopy, serum amylase, lipase levels correlation, follow up.