Abdominal discomfort, acholic stool and 20 pounds weight loss. ABDOMEN:LIVER, BILIARY TRACT: Status post cholecystectomy. The liver is normal in morphology, size and signal intensity. No focal lesion biliary ductal dilatation or vascular abnormality.SPLEEN: Normal splenic size without a focal lesion.PANCREAS: Moderate fatty atrophy of the pancreas without pancreatic ductal dilatation. No focal lesion is identified.There is a small subcentimeter branch type IPMN at the level of pancreatic head versus minimal side branch ectasia/dilatation versus . Normal intrinsic T1-weighted signal intensity of the pancreas. No evidence of acute inflammation. Following secretin administration there is normal dilatation of the main pancreatic duct and excretory function.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.OTHER: No significant abnormality noted.
Moderate fatty atrophy of the pancreas without pancreatic ductal dilatation or focal lesion. No specific evidence of acute or chronic inflammation.Probable subcentimeter branch type IPMN at the level of the pancreatic head versus minimal side branch ectasia/dilatation.