41-year-old male with phase vasculitis, hypertension, drug abuse, and chronic pancreatitis status post pancreatic stent in November 2014. Presents with abdominal pain and acute kidney injury and likely acute on chronic pancreatitis. Markedly limited study due to extensive motion artifact on MRCP sequences. Patient refused additional sequences.ABDOMEN:LUNG BASES: Cardiomegaly.LIVER, BILIARY TRACT: No significant abnormality noted. No focal hepatic lesions. No biliary ductal dilation.SPLEEN: No significant abnormality noted. PANCREAS: Moderate parenchymal atrophy and diffusely decreased T1 signal intensity compatible with chronic pancreatitis. There is a new 2.7 cm ovoid cystic lesion in the uncinate process, likely representing a acute pancreatic fluid collection/pseudocyst depending on the timeframe of patients symptoms. The pancreatic duct is irregular and dilated up to 8 mm, unchanged. No pancreatic soft tissue mass is identified. There is a small amount of peripancreatic fluid near the tail, without associated loculation.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral renal cysts. Otherwise, no abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.
1.Chronic pancreatitis with a small amount of peripancreatic fluid at the tail, likely representing concurrent acute pancreatitis.2.New cystic lesion in the uncinate process compatible with an acute pancreatic fluid collection/psuedocyst (based on revised Atlanta classification), depending on timeframe of patients symptoms.