45-year-old woman with history of pancreatic pseudocyst status post drainage. ABDOMEN:LIVER, BILIARY TRACT: The liver and gallbladder appear normal. There is no intra or extra hepatic biliary duct dilatation.SPLEEN: The spleen appears normal.PANCREAS: The cystgastrostomy tube has been removed. The pancreatic parenchyma is atrophic. The parenchyma and pancreatic tail has decreased T1 signal and enhances poorly. Additionally, there is mild pancreatic tail duct dilatation. No pseudocyst or abnormal fluid collection is identified. No focal pancreatic lesion is identified.The duodenum distends normally on the secretin augmented images suggesting normal exocrine function.ADRENAL GLANDS: The adrenal glands appear normal.KIDNEYS, URETERS: The kidneys appear normal and enhance symmetrically.RETROPERITONEUM, LYMPH NODES: Small peripancreatic lymph nodes are noted, however there is no significant lymphadenopathy.BOWEL, MESENTERY: Loops of small bowel and colon are partially visualized.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Resolved pancreatic pseudocyst and cystgastrostomy removed.2.Findings suggestive of chronic tail pancreatitis with mild ductal dilatation, likely due to stricture or chronic ductal injury.