Male 47 years old Reason: 47 with history of recurrent acute pancreatitis, MRI with gadolinium to rule out tumor, MRCP with secretin to r/o PD stricture and fluid collection History: history of steatorrhea, abdominal pain, and acute pancreatitis ABDOMEN:LIVER, BILIARY TRACT: Diffuse hepatic steatosis. No focal hepatic lesion. No intra-or extrahepatic duct dilatation.SPLEEN: No significant abnormality noted.PANCREAS: The pancreas is severely atrophic, in particular the body and tail where there is associated loss of normal intrinsic T1 hyperintense signal. There is blunted physiologic response to secretin consistent with severe pancreatic atrophy. There is no focal pancreatic lesion evident. Conventional pancreatic ductal anatomy and normal duct caliber. ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.
1.The pancreas demonstrates blunted physiologic response to secretin consistent with severe pancreatic atrophy.2.Diffuse hepatic steatosis.