73 year-old female history of pancreatic mass. ABDOMEN:LIVER, BILIARY TRACT: Subsegmental left hepatic lobe nonenhancing cyst. The common bile duct appears normal measuring 5 mm. No intrahepatic biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: There is decreased intrinsic T1 signal abnormality with distal fatty atrophy. There is pancreatic ductal dilatation measuring up to 9mm with tortuosity about the neck, body, and tail region and dilated sidebranches. There are three areas of abrupt narrowing without enhancing mass, filling defect or nodularity. The proximal duct appears normal.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Subcentimeter nonenhancing left interlobar cyst.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.Dilated and tortuous pancreatic duct with multiple areas of abrupt narrowing as above without abnormal enhancement, filling defect or mass, likely secondary to benign strictures. Decreased intrinsic T1 signal of the pancreas with distal atrophy. Constellation of findings suggests chronic pancreatitis. Continued follow up with Secretin stimulated MRCP is recommended if clinically warranted.