30-year-old female with ulcerative colitis and recurrent pancreatitis. MRCP with secretin to rule out a pancreatic ductal stricture. Limited exam due to the lack of intravenous contrast.ABDOMEN:LIVER, BILIARY TRACT: Small cyst of hepatic segment 6. Otherwise, unremarkable hepatic parenchyma. No intra or extrahepatic biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: Normal bright T1 noncontrast signal intensity of the pancreatic parenchyma. Appropriate fluid distention of the duodenum on the post-secretin series. Stricture of the mid pancreatic body with upstream dilatation. The lack of intravenous contrast limits evaluation for an underlying neoplasm. Mild increased DWI signal intensity of the pancreatic body and tail is also suggestive of pancreatitis.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Mildly enlarged lymph nodes tracking along the transverse colon.BOWEL, MESENTERY: Wall thickening and edema of the visualized colon with enlarged adjacent lymph nodes compatible with history of ulcerative colitis.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Stricture of the mid pancreatic body with mild upstream ductal dilatation and increased diffusion signal intensity of the body and tail suggestive of pancreatitis. The lack of intravenous contrast limits the evaluation for an underlying neoplasm.2.Wall thickening and edema of the visualized colon with adjacent mildly enlarged lymph nodes compatible with the history of ulcerative colitis.