Female 26 years old Reason: eval pancreas, chronic pancreatitis. Secretin stim test requested please History: pain ABDOMEN:LIVER, BILIARY TRACT: No intra- or extrahepatic biliary ductal dilatation. No gallstones.SPLEEN: No significant abnormality noted.PANCREAS: There is focal persistent restricted diffusion in the distal body and tail of the pancreas with subtle decreased enhancement. Again seen is thickening and loss of the normal fatty invagination. The pancreas demonstrates normal physiologic response to secretin.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.
1.Nonspecific thickening and signal abnormality is again seen involving the distal body and tail of the pancreas. Autoimmune pancreatitis/focal pancreatitis could have this appearance. There is normal physiologic response to secretin. 