Female; 70 years old. Reason: 70 year old female with history of recurrent acute pancreatitis, possibly due to autoimmune etiology. MRI/MRCP with secretin to r/o small tumor in pancreas, cystic lesion, or tumor History: recurrent acute pancreatitis, abdominal pain ABDOMEN:LIVER, BILIARY TRACT: Diffuse hepatic steatosis. Small, wedge-shaped peripheral focus of arterial hyperenhancement in the right hepatic lobe is most likely related to transient hepatic arterial difference (series 100/56). No suspicious hepatic lesions. Status post cholecystectomy. No biliary ductal dilation.SPLEEN: No significant abnormality noted.PANCREAS: Prominent to mildly dilated pancreatic duct in the tail, with parenchymal atrophy, with transition point seen in the pancreatic body. In the region of the transition point, there is focal fullness of the pancreatic body which demonstrates slightly heterogeneous signal and restricted diffusion. These findings may be related to focal fibrosis with benign stricturing related to chronic pancreatitis. However, there is a suggestion of a small solid lesion seen in this location on postcontrast images (series 18/40). As a result, underlying neoplasm cannot be excluded, and endoscopic ultrasound correlation is recommended.Poor physiologic response to secretin.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.
Pancreatic abnormalities as detailed above with possible underlying neoplasm in the pancreatic body, for which endoscopic ultrasound is recommended. 