51-year-old male with history of chronic pancreatitis and abdominal pain. The patient also has history of pancreatic pseudocyst, cyst drainage, and pancreatic stent placement. ABDOMEN:LIVER, BILIARY TRACT: Stable small right hepatic cyst.SPLEEN: No significant abnormality noted.PANCREAS: Interval decreased inflammatory changes involving and anterior to the pancreatic body with resolution of previously seen perigastric loculated fluid collection. Previously seen smaller fluid collection at the level of the pancreatic body has decreased and measures up to 0.8 x 0.8 cm, previously 1.4 x 1.7 cm (series 15/31). Mild dilation of the pancreatic duct in the body and tail with abrupt transition point in the pancreatic body in the location of the the above-described inflammatory changes. Underlying stricturing is suspected. No focal, discrete mass is evident; however, occult neoplasm cannot be excluded. Stable mild atrophy of the pancreatic body and tail.Stable 1 x 1 cm cystic lesion in the pancreatic tail, suspicious for sidebranch IPMN (series 5/10); no mural nodularity or significant enhancement.Splenic vein at the level of the portal confluence is not well visualized, suggesting thrombosis. The distal superior mesenteric vein and main portal vein and its branches are patent.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Small bilateral renal cysts.RETROPERITONEUM, LYMPH NODES: Previously seen prominent upper abdominal mesenteric lymph nodes have decreased in size, likely reactive.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Interval decreased inflammatory changes at and anterior to pancreatic body with decreased peripancreatic fluid collections.2.Suspected pancreatic duct stricturing in the pancreatic body, though occult neoplasm cannot be excluded.3.Stable cystic lesion in the pancreatic tail, suspicious for sidebranch IPMN.