37-year-old with history of recent gallstone pancreatitis status post cholecystectomy. Also status post ERCP benign-appearing biliary and pancreatic duct stricture treated with stents. ABDOMEN:LIVER, BILIARY TRACT: No focal hepatic lesions are identified. The gallbladder has been surgically removed. Susceptibility artifact is present surrounding the common bile duct corresponding to the common bile duct stent seen on 10/21/2015 ERCP radiographic images. The common bile duct remains mildly dilated measuring up to approximately 8 mm.SPLEEN: No significant abnormality noted.PANCREAS: The pancreatic head is prominent and demonstrates heterogeneous signal intensity suggestive of pancreatitis. There is a 6 mm cystic focus within the posterior pancreatic head (series 5, image 26) which may be a sidebranch IPMN. The remaining pancreas is normal in morphology and signal intensity. No peripancreatic fluid collections are identified. The pancreatic stent seen on radiographic images from 10/21/2015 ERCP is not well-visualized on this examination. The pancreatic duct is mildly irregular in contour and measures up to 4 mm in diameter at the level of the pancreatic neck, decreased from 8 mm on prior ultrasound. The previously seen distal pancreatic duct stone is no longer visualized. Post-secretin images demonstrate minimally decreased compliance but satisfactory excretion function.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: There is mild thickening and increased enhancement involving the second and third portions of the duodenum compatible with mild duodenitis.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Status post cholecystectomy and placement of common bile duct stent. Pancreatic duct stent seen on prior imaging not well visualized.2.Findings suggestive of pancreatitis of the pancreatic head with associated reactive duodenitis. No peripancreatic fluid collection.3.Interval removal of pancreatic duct stone and decrease in caliber of pancreatic duct. Pancreatic duct is mildly irregular and demonstrates mildly decreased compliance on post-secretin imaging.4.A 6 mm cystic focus in the posterior pancreatic head may be a sidebranch IPMN. 