55-year-old female status post LADD procedure with bouts of chronic pancreatitis ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: Mild irregularity of the mid main pancreatic duct without significant upstream dilation. Decreased compliance within the body and tail of the main pancreatic duct following secretin administration. No evidence of pancreatic divisum. A lobulated T2 hyperintense lesion is noted within the mid pancreatic body favored to represent a sidebranch IPMN (series 4, image 20). There is mild parenchymal atrophy of the distal body and tail.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Benign cyst in the right interpolar kidney.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Postsurgical evidence of LADD procedure with small bowel characteristically situated in the right hemiabdomen.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Mild focal irregularity/stricture of the mid main pancreatic duct with decreased compliance following secretin administration, particularly at level of distal body/tail. There is parenchymal atrophy of the distal body and tail of the pancreas.2.Probable side branch IPMN. 3.Postsurgical changes of a LADD procedure without evidence of small bowel obstruction.