Diabetes, alcohol abuse, 40lbs weight loss, CT showed soft tissue infiltration around head of pancreas, evaluate for underlying neoplasm ABDOMEN:LIVER, BILIARY TRACT: No significant biliary duct dilatation. SPLEEN: No significant abnormality noted.PANCREAS: Dilatation of main pancreatic duct, measuring up to 7 mm, seen to level of ampulla, no evidence of obstructing mass. Intraductal stones/debris seen. No definite obstructing lesion seen. Marked pancreatic parenchymal atrophy with relative sparing of head. Curvilinear T2 hyperintensity at level of pancreatic head likely the cystic duct, image 14 series 501.ADRENAL GLANDS: 1 cm right adrenal nodule demonstrating signal loss on opposed phase imaging, consistent with adrenal adenoma, image 47 series 901.KIDNEYS, URETERS: Mild perinephric stranding. 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.
1. Findings compatible with chronic pancreatitis with ductal dilatation, secondary to stones. No definite obstructing lesion seen.2. Right adrenal adenoma.