76-year-old male with possible inflammation/mass in pancreatic head as noted on CT 11/23/2015 status post endoscopic ultrasound 12/10/2015 that showed dilatation of the pancreatic duct to 8 mm. Evaluate for pancreatic mass. ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: There is mild focal pancreatic ductal prominence measuring up to 8 mm at the pancreatic head, which is most likely age-related; there is tapering of the pancreatic duct at the level of the ampulla of vater. No evidence of a suspicious pancreatic head mass. There is evidence of signal loss on the out of phase images in the pancreatic head consistent with microscopic fat. No abnormal T2 signal or diffusion restriction to suggest pancreatitis.There is appropriate response to secretin stimulation.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral nonenhancing T2 hyperintense foci compatible with cysts.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.Focal pancreatic ductal prominence at the pancreatic head is most likely age-related. There is evidence of signal loss on the out of phase images in the pancreatic head consistent with microscopic fat. 2.No evidence of a suspicious pancreatic mass with other details as above.