78-year-old man with history of chronic pancreatitis. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in signal and morphology. Mild extrahepatic biliary duct dilatation appears stable. There is no intrahepatic biliary duct dilatation. The gallbladder appears normal.SPLEEN: The spleen is normal.PANCREAS: The pancreatic region, is atrophied and there is stable, irregular pancreatic ductal dilatation. Additionally, there is a new ductal calcification (series 10, image 19) in the body of the pancreas. No pancreatic masses identified.Sequences obtained following secretin administration demonstrate diminished compliance of the main pancreatic duct with at least one ectatic side branch. The duodenum is seen opacifying to the ligament of Treitz.ADRENAL GLANDS: The adrenal glands are normal.KIDNEYS, URETERS: Multiple simple renal cysts are seen bilaterally, unchanged from prior exams.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: The partially visualized small bowel and colon appears normal. Multiple varices are again noted with occlusion of the SMV near the portal confluence.BONES, SOFT TISSUES: There is a hemangioma in the L2 vertebral body.OTHER: No significant abnormality noted.
Findings compatible with chronic pancreatitis including main pancreatic duct dilatation, decreased compliance shown status post secretion administration, and ductal calcifications. No focal pancreatic mass identified.