Abdominal painEXAMINATION: MR Abdomen/MRCP without and with IV contrast date ABDOMEN:LIVER, BILIARY TRACT: The hepatic ducts, cystic duct, and common bile duct are normal in course and caliber.PANCREAS: The pancreatic duct is not visualized on this exam.Significant interval decrease in size of the retroperitoneal fluid collection, consistent with a pancreatic pseudocyst, status post drainage. Cystogastric communication device in place along the posterior wall of the stomach adjacent to the fluid collection. Patency of the device cannot be assessed on this exam. The main residual collection now measures approximately 3.8 x 2.4 x 3.5 cm (series 401, image 16; series 301, image 17). An additional small component of fluid collection lying lateral to the left kidney measures approximately 3.5 x 1.5 cm (series 501, image 24), and appears to communicate with the previously described collection.The pancreatic tail is not well visualized, but the remainder of the pancreas enhances normally.SPLEEN: Decreased local mass effect on the splenic vessels. The splenic vein is now patent.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant mass-effect by the residual collection on the left kidney.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No abnormal bowel wall thickening or evidence of obstruction.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Significant decrease in size of a pancreatic pseudocyst status post drainage device placement. Patency of the drain cannot be assessed on this exam.2.The pancreatic duct is not visualized on this exam.3.Decreased mass effect on the splenic vasculature. The splenic vein is now patent.