Reason: 29 female with recurrent pancreatitis and prior stricture. Now s/p stent removal and pancreatic duct sweep, please re-evaluate stricture History: abdominal pain. MRCP images are severely limited due to patient motion and technical factors. Postcontrast images are limited; patient had difficulty tolerating the examination immediately following contrast bolus administration, so postcontrast images were delayed. ABDOMEN:LIVER, BILIARY TRACT: Liver demonstrates normal parenchymal signal intensity. There is an unchanged subcentimeter T2 hyperintensity within hepatic segment 8 which likely represents a cyst. No suspicious focal hepatic lesions are identified.The gallbladder is nondilated and lacks wall thickening. No biliary duct dilatation. No evidence of choledocholithiasis.SPLEEN: No significant abnormality noted.PANCREAS: There is near complete resolution of the previously seen complex fluid collection centered at the pancreatic tail. There is decreased T1 signal, mildly increased T2 signal, and mildly decreased enhancement throughout much of the pancreas with preservation of relatively normal signal within portions of the pancreatic head. There is mild residual peripancreatic fat stranding, improving from prior. There is mild residual stricturing of the proximal pancreatic duct with mild dilation of the proximal pancreatic duct in the neck and body measuring up to 3 mm, improving from prior. There is mild dilation of the distal pancreatic duct in the tail up to 3 mm, increased from prior and which may reflect new stricturing.The splenic vein is poorly evaluated due to contrast bolus timing.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.Limited examination as described above. Patient will be recalled for repeat imaging. Within these limitations:2.Resolution of previously described peripancreatic fluid collection.3.Pancreatic signal abnormality sparing portions of the pancreatic head compatible with pancreatitis.4.Mild residual dilation of the proximal pancreatic duct likely related to stricturing, improving from prior.5.New mild dilation of the distal pancreatic duct, increased from prior, and which may reflect new stricturing.