History of recurrent pancreatitis and known pancreatic divisum. Please perform secretin stimulation test. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in signal and morphology. No focal hepatic lesion. The hepatic arteries, hepatic veins, and portal veins are widely patent. No biliary ductal dilatation. There is an accessory right hepatic duct. The common bile duct measures 6 mm in diameter.SPLEEN: No significant abnormality noted.PANCREAS: There are findings of pancreatic divisum. The main pancreatic duct is nondilated. The duct has a tortuous course once it enters the pancreatic head and is narrowed prior to entering the minor papilla. The ventral duct is also nondilated.Following the administration of secretin, there is no change in duct caliber or extracranial function of the pancreas.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Kidneys are normal in signal and morphology. No hydronephrosis. There is a left inferior pole simple cyst.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.
1.Pancreatic divisum without associated dilatation of the pancreatic ducts. The main pancreatic duct however becomes markedly narrowed prior to entering the minor papilla.2.No change in duct caliber or exocrine function of the pancreas following secretin administration.