64-year-old male with history of gallstone pancreatitis and pseudocyst. ABDOMEN:LIVER, BILIARY TRACT: Status post cholecystectomy. Mild central intrahepatic and extrahepatic biliary ductal dilation. The common bile duct measures up to 18 mm in diameter with smooth tapering near the pancreatic head with no evidence of abnormal filling defect or stone. The hepatic vasculature is patent.SPLEEN: Chronically thrombosed splenic vein.PANCREAS: Dilated pancreatic duct with multiple blown out side branches. Other cystic foci without clear communication to main duct likely also represent dilated side branches, however small IPMN without suspicious features cannot be entirely excluded. No evidence of pancreas divisum.Pancreatic exocrine function is moderately reduced.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: Mild cardiomegaly.
Findings compatible with chronic pancreatitis with a dilated pancreatic duct with blown out sidebranches vs. small IPMN. No evidence of active inflammation. Moderately reduced pancreatic exocrine function.