A-year-old male with history of recurrent pancreatitis. ABDOMEN:LIVER, BILIARY TRACT: No intrahepatic biliary ductal dilation. No suspicious masses. The common bile duct measures 3 mm.SPLEEN: No significant abnormality noted.PANCREAS: There is increased T2 signal abnormality with associated restricted diffusion throughout the pancreas compatible with acute pancreatitis. There is no evidence of pseudocyst or vascular complication.The main pancreatic duct is diffusely irregular, particularly in the pancreatic head, however it is not abnormally dilated. Small hypointense filling defect near the proximal pancreatic duct may represent a stone or calcification.Mild pancreatic atrophy. Pancreatic exocrine function is diminished.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.
Findings compatible with acute on chronic pancreatitis with a diffusely irregular main pancreatic duct, worse near the pancreatic head. Intraductal hypointense lesion near pancreatic head may represent a stone or calcification. Moderately diminished pancreatic exocrine function.