50-year-old male with history of pancreatitis complicated by numerous pseudocyst formation status post EUS guided drainage and stent placement. Evaluate pancreatic pseudocyst. ABDOMEN:LIVER, BILIARY TRACT: Again noted is small focus of T2 hyperintensity in the right hepatic lobe, likely benign. Status post cholecystectomy. No intra or extrahepatic biliary ductal dilatation.SPLEEN: Residual splenic tissue is unchanged compared to the previous examination. No perisplenic fluid collection. The splenic vein is narrowed but patent with evidence of perigastric varices.PANCREAS: Mild peripancreatic inflammatory changes. The pancreatic duct is dilated with evidence of irregularity and side branches involving the body and tail of the pancreatic duct; findings likely secondary to chronic pancreatitis. No evidence of a pancreatic pseudocyst. There is a blunted response to secretin.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral renal cysts are present.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 consistent with chronic pancreatitis without evidence of pseudocyst. 2.Blunted response to secretin.