54-year-old female patient with pancreatic head lesion seen on CT. ABDOMEN:LIVER, BILIARY TRACT: The gallbladder is absent. No intra or extrahepatic biliary ductal dilatation.SPLEEN: Nonspecific enhancing lesion in the mid spleen is isointense on T2 imaging (series 1602 image 362).PANCREAS: The lesion previously seen on CT scan at the pancreatic head corresponds to a portion of the common bile duct. There is no pancreatic ductal dilatation. Irregular contour of the pancreatic duct and a small nonobstructive stone in the pancreatic duct likely from chronic pancreatitis. The pancreas is severely atrophic.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: There is mild bilateral hydronephrosis that appears to be new compared to prior CT.BOWEL, MESENTERY: Above average stool burden.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.No pancreatic head mass identified. Lesion previously seen appears to correlate with a portion of the nondilated common bile duct.2.Chronic pancreatitis.3.New mild bilateral hydronephrosis.4.Nonspecific enhancing lesion in the mid spleen is favored to be benign in etiology.