Female 76 years old with pain and dilated pancreatic duct on CT. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in size and smooth in contour. Within hepatic segment 8 is a 13 x 10 mm, round arterial enhancing lesion with no washout on delayed images. Mildly prominent common duct is likely related to age post cholecystectomy state. No intrahepatic biliary dilatation.SPLEEN: No significant abnormality noted.PANCREAS: Correlating to the CT is a markedly pancreatic duct dilated pancreatic duct measuring up to 7 mm with a transition point the mid pancreatic body (series 401, image 26). This may be related to a pancreatic stricture and although no discrete mass is identified, a malignant stricture cannot be excluded. Lobular tissue at the level of the stricture is favored to represent a normal pancreatic lobule (series 1004, image 223).There is atrophy of the pancreatic body and tail. Comparison made to prior CT where there were no calcifications to suggest chronic pancreatitis.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No retroperitoneal lymphadenopathy. BOWEL, MESENTERY: Colonic diverticulosis without evidence of diverticulitis.BONES, SOFT TISSUES: Dextroscoliosis and degenerative changes of the lumbar spine.OTHER: No significant abnormality noted.
1.Atrophic pancreatic body and tail.2.Markedly dilated pancreatic duct with abrupt termination in the mid pancreatic body, atrophic changes of pancreatic parenchyma suggested. Findings are concerning for stricture and, although a discrete mass is not identified, a malignant stricture cannot be excluded. Correlation with EUS is recommended.