Reason: 50M h/o ETOH induced chronic pancreatitis c/b pseudocyst formation s/p EUS aspiration of fluid 3/30/16, eval for response s/p aspiration History: pancreatic pseudocyst ABDOMEN:LIVER, BILIARY TRACT: No focal hepatic lesions. The main portal vein and SMV are compressed but patent.SPLEEN: No significant abnormality noted.PANCREAS: There is been interval placement of an AXIOS stent along the lesser curvature. No residual peripancreatic collections are appreciated.There is diffusion restriction throughout the pancreas. There is low T1 signal within the body and tail on precontrast sequences with delayed hyperenhancement. The main pancreatic duct is dilated within the body and tail with multiple dilated side branches, findings likely reflecting chronic pancreatitis. Main pancreatic ductal dilatation is abrupt and it is likely structured at the junction of the pancreatic body and neck (601/25) representing a stricture.Small peripancreatic nodes are present.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: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Abrupt dilatation of the main pancreatic duct at the junction of the pancreatic body and neck likely represents a stricture.2.Findings suggesting associated chronic pancreatitis of the pancreatic body and tail.3.Resolution of peripancreatic fluid collections.