30 years, Male, Reason: recurrent pancreatitis evl for ductal abnormalities. PLEASE PERFORM W GADOLINIUM + SECRETIN History: recurrent pancreatitis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No focal hepatic lesions. No evidence of cholelithiasis or choledocholithiasis. SPLEEN: No significant abnormality noted.PANCREAS: There is diffusion restriction within the pancreatic neck and body suggesting inflammation. A minimal rim of enhancement is noted along the anterior aspect of the pancreas in this region.The main pancreatic duct is normal in caliber measuring 3 mm and dilates to 5 mm following the administration of secretin, within normal limits. There is conventional ductal anatomy. No strictures are evident. There is normal excretion of secretion to the third portion of the duodenum.ADRENAL GLANDS: No significant abnormality noted.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.
1.Diffusion restriction within the pancreatic neck and body suggests underlying inflammation.2.A minimal rim of enhancement is present on which may be seen in the setting of autoimmune pancreatitis. Recommend correlation with IgG-4 levels.