Female 66 years old Reason: PD dilation and possible pancreatic head lesion on USG History: HCV, ABDOMEN:LIVER, BILIARY TRACT: Liver is normal in morphology. No suspicious hepatic lesions. Hepatic and portal veins are patent.There is mild common bile duct dilatation without significant intrahepatic biliary ductal dilatation.SPLEEN: No significant abnormality notedPANCREAS: Pancreatic duct is dilated up to 7 mm up to the level of the ampulla. Motion artifact limits evaluation of the pancreatic head. Within this limitation, no discrete pancreatic head mass is evident.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Probable renal column of Bertin involving the midpole of the right kidney corresponding to the abnormality seen on ultrasound. No hydronephrosis in either kidney.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Findings suggestive of pulmonary fibrosis in the right lower lobe.
1.Dilated pancreatic duct to the level of the ampulla of unclear etiology. Follow-up is suggested.2.Renal column of Bertin probably the cause of the abnormality seen on ultrasound.