43-year-old male with chronic pancreatitis and new onset right lower quadrant pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: Numerous calcifications are scattered throughout the pancreas, compatible with chronic pancreatitis.A 14 x 9 cm cystic lesion is seen at the junction of the body/tail of the pancreas (series 3, image 41) with possible associated calcifications, unchanged from recent MRI.ADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: The appendix is not definitively visualized. No right lower quadrant inflammatory changes are visualized.A tubular, blind ending structure (series 3, image 114) arises off the distal ileum, compatible with a Meckel's diverticulum. No adjacent inflammatory changes are visualized.Mild diffuse haziness of the mesentery is seen, not significantly changed.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS:PROSTATE, SEMINAL VESICLES: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No significant abnormality notedOTHER: Trace free fluid in the pelvis, unchanged.
Meckel's diverticulum without adjacent inflammatory changes. Nonvisualized appendix without inflammatory changes in the ileocecal region to suggest appendicitis.Cystic lesion in the pancreas, unchanged from MRI from 7/15/09. In retrospect, this is compatible with a side branch IMPN. Follow-up MRI may beneficial.