69-year-old male with persistent diarrhea. Evaluate for pancreatitis. ABDOMEN: Motion artifact partially degrades image quality, specifically postcontrast images.LIVER, BILIARY TRACT: No intra or extrahepatic biliary ductal dilatation. There is no evidence of suspicious hepatic lesion.SPLEEN: Splenic granulomata are again noted.PANCREAS: Morphologic changes of the pancreas with evidence of diffuse calcifications compatible with chronic pancreatitis. There is no evidence of increased T2 signal or diffusion restriction to suggest acute pancreatitis. The pancreatic duct is irregular. No peripancreatic fluid collections.There is increased fluid within the bowel after secretin administration, however, no change in the caliber of the duct size to suggest adequate response to secretin.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.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.Morphologic changes of chronic pancreatitis without evidence of acute pancreatitis.2.Increased fluid within the bowel after secretin administration; however, no change in caliber of the duct size to suggest adequate response to secretin.