52-year-old female. CT scan OSH with small calcifications in head of pancreas. Please use gadolinium and secretin to rule out chronic pancreatitis. Persistent nausea. ABDOMEN:LIVER, BILIARY TRACT: Small left hepatic lobe cyst. Small wedge shaped intrinsically T1 hyperintense area adjacent to the falciform ligament likely represents a perfusion abnormality. No suspicious hepatic mass. No biliary dilatation.SPLEEN: No significant abnormality noted.PANCREAS: Pancreatic divisum is noted. No pancreatic ductal dilatation and appropriate physiologic response of the pancreas to secretin. T1 signal intensity of the pancreas is normal. No focal mass is identified.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: Mild degenerative changes in the spine.OTHER: No significant abnormality noted.
No specific evidence of chronic pancreatitis. Pancreatic divisum. Appropriate physiologic response of the pancreas to secretin.