History of pancreas divisum status post sphincterotomy. Now with abdominal pain. ABDOMEN:LIVER, BILIARY TRACT: Hepatic steatosis. Status post cholecystectomy. The common bile duct is normal in caliber and tapers smoothly to the ampulla.SPLEEN: No significant abnormality noted.PANCREAS: Pancreas divisum.The pancreas is atrophic and mildly decreased in intrinsic T1 weighted signal intensity. No peripancreatic inflammatory changes. It enhances homogeneously. No complication of prior pancreatitis.Following secretin administration the pancreatic duct demonstrates normal dilatation without side branch ectasia. Expected secretory response of the pancreas. No flow-limiting stricture is evident.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.
Pancreas divisum. Expected secretory response of the pancreas without a flow-limiting stricture evident. Hepatic steatosis.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.