Recurrent pancreatitis status post multiple drain placements. ABDOMEN:LIVER, BILIARY TRACT: The common bile duct measures 8 mm, unchanged compared to prior. The dilatation extends to the level of the ampulla. No filling defect is identified within the gallbladder. The hepatic parenchyma is normal in appearance. Mild iron deposition throughout the liver parenchyma. The gallbladder is distended without evidence of cholecystitis. SPLEEN: Splenomegaly, measuring up to 15.4 cm in craniocaudal dimension.PANCREAS: Persistent distal irregularity and dilatation of the main pancreatic duct, measuring up to 5 mm, and involving the sidebranches, unchanged. The duct is irregular, but not dilated, within the head and proximal body. The pancreas enhances normally, without evidence of necrosis. There is interval increased peripancreatic edema. No focal fluid collection is identified. No abnormal enhancement to suggest necrosis.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: The bowel loops are normal in caliber. No evidence of bowel obstruction. BONES, SOFT TISSUES: No significant abnormality noted.OTHER: The splenic vein is attenuated, however, there is no evidence of pseudoaneurysm.
1.Acute on chronic pancreatitis with increased peripancreatic edema and unchanged distal pancreatic ductal dilatation, suggestive of stricture in the pancreatic neck. No evidence of discrete peripancreatic collection or pancreatic necrosis.2.Mildly dilated common bile duct bile duct to the level of the ampulla without obstructing stone or lesion identified.