78-year-old male with history of cholelithiasis, status post cholecystectomy in 2012, complicated by bile leak, treated with biliary stent sphincterotomy and stent placement, status post ERCP for stent removal in 11/2014 complicated by post-ERCP pancreatitis and large pancreatic pseudocyst status post drainage. ABDOMEN:LUNG BASES: Stable persistent right basilar atelectasis/consolidation. Trace right pleural effusion.LIVER, BILIARY TRACT: Status post cholecystectomy. Stable subcentimeter segment 8 hepatic cyst. Stable mild dilatation of the common bile duct measuring 8 mm in diameter, and smooth distal tapering is again noted. Stable mild intrahepatic biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: Pancreatic parenchymal atrophy is again noted of the body and tail with loss of the normal T1 hyperintense signal intensity, which is suggestive of chronic pancreatitis. The previously described short segment dilatation of the pancreatic duct at the junction of the upstream body and tail is similar and could be related to stricture. No pancreatic or peripancreatic drainable fluid collection.Blunted physiologic response to secretin. ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Stable small renal cysts. No hydronephrosis.RETROPERITONEUM, LYMPH NODES: IVC filter.BOWEL, MESENTERY: Stable small fat-containing ventral hernia (series 9 image 19).BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1. Stable findings suggestive of chronic pancreatitis with possible stricturing of the pancreatic duct at the body/tail junction. Blunted physiologic response to secretin.2. No new peripancreatic fluid collection.3. Stable persistent right basilar nonspecific atelectasis/consolidation.