Chronic alcoholic pancreatitis. Pancreatic pseudocyst post drainage and stent removal. Evaluate pancreatic parenchyma ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: There is interval removal of a cystogastrostomy. There is a focal area of necrosis and main pancreatic duct stricture at the site of prior cystogastrostomy. There is discontinuity of the pancreatic duct, with upstream ductal dilatation. There is increased size of a pancreatic tail collection measuring 4.0 x 1.6 cm, which extends superiorly and is contiguous with the main pancreatic duct. ADRENAL GLANDS: There is a small left adrenal nodule measuring 1.0 cm. Normal right adrenal gland. KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Progression of chronic pancreatitis with focal pacreatic necrosis and pancreatic stricture at site of prior cystogastrostomy and increased size of pancreatic tail collection.