70-year-old with fat malabsorption. Concern for obstructing lesion in the pancreatic head. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in morphology. There is diffusely decreased parenchymal signal and signal dropout on the in phase images compatible with iron deposition. No focal mass lesion.There are multiple dependent stones within the gallbladder. No intrahepatic or extrahepatic biliary ductal dilatation. Common bile duct is normal in size and contour.SPLEEN: The splenic parenchyma has diffusely decreased signal compatible with iron deposition.PANCREAS: The pancreas is mildly atrophic, but maintains normal signal. No obstructing lesion is identified within the limits of a noncontrast exam. There is pancreatic divisum with the main duct draining into the minor papilla (series 501 image 22). The main pancreatic duct is nondilated.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: There are multiple cysts in the kidneys bilaterally. One cyst in the superior pole of the left kidney is minimally complex containing a few thin septations. No mass lesion or hydronephrosis.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Postoperative changes from Roux-en-Y gastric bypass.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Pancreatic divisum without associated dilatation of the main pancreatic duct. No obstructing mass lesion is identified within the pancreatic head.2.Cholelithiasis without evidence of choledocholithiasis. No biliary ductal dilatation.3.Findings of hemosiderosis with increased iron content in the liver and spleen.