Reason: 24 year old male with recurrent acute pancreatitis, MRCP with secretin to evaluate the pancreatic ducts, mainly dorsal duct to evaluate for dilation History: recurrent acute pancreatitis. Evaluation of the solid organs and vascular structures is somewhat limited by lack of intravenous contrast.ABDOMEN:LIVER, BILIARY TRACT: The liver is upper normal in size but otherwise demonstrates normal morphology. There are numerous small hepatic T2 hyperintense structures which do not appear to communicate with the bile ducts and which are compatible with multiple biliary hamartomas or hepatic cysts. No suspicious hepatic lesions are identified within the limitations of a noncontrast examination. Hepatic parenchymal signal intensity is within normal limits.The gallbladder is nondilated. There is no biliary ductal dilatation or evidence of choledocholithiasis.SPLEEN: The spleen is upper normal in size without focal lesions.PANCREAS: The pancreas demonstrates normal parenchymal signal intensity without focal lesions identified within the limitations of a noncontrast examination. No evidence of peripancreatic edema. The pancreatic duct is nondilated. Post secretin images demonstrate normal compliance and exocrine function.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No renal cysts are identified.RETROPERITONEUM, LYMPH NODES: A duplicated IVC is incidentally noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Numerous hepatic T2 hyperintense structures compatible with multiple biliary hamartomas and/or hepatic cysts.2.No evidence of acute pancreatitis.3.Pancreatic duct normal in caliber with normal compliance and exocrine function on post-secretin images.