Female 25 years old Reason: 25 yo F with hx of liver transplant 2/2 biliary atresia admitted with nausea, vomiting, abdominal pain, elevated lipase, please perform MRCP secretin protocol to r/o pancreatic stricture, pseudocyst, pancreatitis History: epigastric pain, nausea, vomiting, elevated lipase ABDOMEN:LIVER, BILIARY TRACT: Patient is status post partial hepatic lobe transplant. The left hepatic lobe is mildly nodular. There is minimal intrahepatic biliary ductal dilatation. The biliary enteric anastomosis is patent as seen on image 14 of series 6.Hepatic and portal veins are patent. No suspicious hepatic lesions.SPLEEN: Spleen is enlarged with varices.PANCREAS: Pancreas is mildly T1 hypointense on the precontrast T1-weighted imaging. Enhancement is normal without areas of necrosis. Pancreatic duct shows mild narrowing in the pancreatic body for approximately an 8 mm segment.. There is normal physiologic response to secretin. There is minimal surrounding inflammation.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Narrowing of the celiac artery better evaluated on the recent CT angiogramBOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Status post left hepatic lobe transplant with minimal intrahepatic biliary ductal dilatation and no suspicious hepatic lesions. Liver is mildly nodular with enlargement of the spleen. Correlate for liver disease.2.Findings suggestive of mild pancreatitis without pseudocyst formation. Mild narrowing of the pancreatic duct in the body. Expected response to secretin.