Female 19 years old with a history of pancreatitis s/p stent placement. ABDOMEN:LIVER, BILIARY TRACT: The liver is mildly enlarged measuring 22 cm in craniocaudal dimension. Diffuse loss of signal within the hepatic parenchyma on out of phase images indicates hepatic steatosis. There is no enhancing liver lesion. The common bile duct and pancreatic duct are narrowed at the level of the pancreatic head over an approximate length of 3 cm. There is mild to moderate intrahepatic ductal dilatation and dilation of the pancreatic duct within the body and tail similar to the previous exam. The pancreatic and common duct stent are not definitely identified.The hepatic vasculature is patent.SPLEEN: The splenic vein is thrombosed.PANCREAS: There is patchy enhancement patchy enhancement of the pancreatic head indicating some residual inflammation. The intrinsic T1 signal the pancreas is diminished. No pancreatic stent is visualized. The pancreatic pseudocyst has resolved. The pancreatic duct is dilated with dilated side branches. The parenchyma has mild atrophy.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Note is made of a wind sock diverticulum of the duodenum. No bowel obstruction. The stomach is not distended.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.There is evidence of mild residual inflammation within the pancreatic head consistent with the history of acute on chronic pancreatitis. The pancreatic pseudocyst has resolved.2.New splenic vein thrombosis.3.Narrowing of the common bile duct and pancreatic duct at the head of the pancreas with resulting dilation of the intrahepatic biliary ducts and pancreatic duct appears similar to the previous exam.4.Pancreatic and common duct stents are not visualized. A plain film is suggested if evaluation for stent migration is clinically warranted.5.Duodenal wind sock diverticulum as detailed above.