52-year-old female with recurrent acute pancreatitis and pseudocyst, status post ERCP 10/4/2016 with pancreatic duct stricture in head of pancreas. Lack of visualization of the body and tail. Two-week MRCP secretin to evaluate pseudocyst and pancreatic body/tail. ABDOMEN:LIVER, BILIARY TRACT: No intra or extrahepatic biliary ductal dilatation. Layering biliary sludge within the gallbladder.SPLEEN: No significant abnormality noted.PANCREAS: Interval removal of the pancreatic ductal stent. The pancreatic parenchyma demonstrates loss of the normal bright T1 signal intensity on the noncontrast T1 series. Mild parenchymal atrophy and ductal dilatation of the pancreatic tail with a strictured/beaded appearance. The post-secretin series demonstrates an appropriate filling of the duodenum and proximal jejunal loops. There is impaired compliance of the pancreatic duct after secretin administration. No definite side branch ectasia delineated. No evidence for acute inflammation or pseudocyst formation. ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Small gastrohepatic lymph nodes (series 7 image 14).BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Stricturing of pancreatic duct most notably seen in the distal pancreatic body and tail. No evidence for acute inflammation or pseudocyst formation. Please see above for details.