40-year-old woman with history of recurrent pancreatitis status post ERCP 9/22/2016 demonstrating high-grade minor papillary stricture. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in signal and morphology. There is no focal hepatic lesion. Patient is status post cholecystectomy. There is no intra or extrahepatic biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: There is bifid configuration of the pancreatic duct with dominant drainage through the minor papilla. The proximal main pancreatic duct is persistently dilated and there are is mild curvature of the main pancreatic duct (9/47). The duct of Wirsung is identified but somewhat attenuated. No significant stricture or extrinsic mass is identified. On post-secretin images, there is good exocrine function without significant change in caliber of the pancreatic duct.The pancreatic parenchyma appears normal without abnormal foci of enhancement.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No focal renal lesion. No hydronephrosis.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Gastrostomy tube noted. There is a large stool burden.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Bifid configuration of the pancreatic duct with dominant drainage through the minor papilla but no stricture or extrinsic mass. 2.Normal exocrine function and drainage on post-secretin images with no significant change in ductal caliber.