37 years, Male, Reason: 37 yo male with chronic pancreatitis; please evaluate for abnormalities History: chronic pancreatits. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: The common bile duct is dilated to 9 mm proximal to the intrapancreatic portion which is likely structured. No intrahepatic biliary ductal dilatation. T2 hyperintensity in the left hepatic lobe is too small to characterize but likely represents a cyst or small hemangioma.SPLEEN: No significant abnormality noted.PANCREAS: The main pancreatic duct is irregular and dilated throughout its course measuring up to 1 cm with multiple dilated side branches. There is atrophy of the pancreatic tail with loss of normal signal. Two small stones are seen within the pancreatic duct. 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.Pancreatic atrophy with dilated irregular pancreatic duct. Given the calcifications seen on prior CT, chronic pancreatitis is favored. However, the pancreatic ductal dilatation is rather severe and a main duct IPMN cannot be excluded. It is recommended that the patient return to complete the examination with postcontrast sequences to exclude enhancement within the duct.2.Dilated common bile duct with likely stricturing within the intrapancreatic portion.