25-year-old female with a history of recurrent acute pancreatitis. MRI/MRCP without contrast was negative for choledocholithiasis and showed a moderately distended gallbladder. Rule out sphincter of Oddi dysfunction. ABDOMEN:LIVER, BILIARY TRACT: No intra-or extrahepatic biliary ductal dilation. No focal mass lesions are identified. No gallstones are seen.SPLEEN: No significant abnormality noted.PANCREAS: There is restricted diffusion and decreased signal abnormality in the distal body and tail of the pancreas which has a "sausage" shaped appearance with loss of its normal fatty invaginations. There is also faint peripheral enhancement on post contrast sequences. There is a dampened response to secretin after augmentation.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No evidence of lymphadenopathy.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Nonspecific findings which are suggestive of autoimmune pancreatitis, as detailed above. Correlation with IgG4 levels could be considered for further evaluation.