8-year-old male with history of laceration to mid body/tail of pancreas, blunt abdominal trauma. Elevated amylase and lipase. EXAMINATION: MRCP without and with IV contrast 12/02/16 ABDOMEN:LIVER, BILIARY TRACT: No focal liver lesion is identified. No intrahepatic or extrahepatic biliary ductal dilatation. No evidence of cholelithiasis.SPLEEN: No significant abnormality noted.PANCREAS: Decreased T1-weighted signal and increased T2 weighted signal of the distal body and tail of the pancreas, distal to the known laceration, and compatible with inflammation. On contrast enhanced images, there is heterogeneous pancreatic parenchymal enhancement with relatively increased enhancement of the distal body and tail. The main pancreatic duct appears dilated distal to the laceration with visualization of a few dilated side branches.Small amount of peripancreatic fluid. No loculated intraparenchymal or peripancreatic fluid collection.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted. No hydronephrosis.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. Stricture of the main pancreatic duct at the site of injury, with dilatation of the duct distally.2. Pancreatitis of the tail, distal to the site of injury. Small amount of peripancreatic fluid.