85-year-old female with cirrhosis and pancreatic ductal dilatation. ABDOMEN:LIVER, BILIARY TRACT: Common bile duct is mildly dilated measuring up to 10 mm. Pancreatic duct is also dilated measuring up to 7 mm all the way to the ampulla. A benign ampullary stricture is likely present.There is focal fatty infiltration anterior to the main portal vein. No focal solid lesions are seen in the liver.SPLEEN: No significant abnormality noted.PANCREAS: No solid lesions in the pancreas. Pancreas is atrophic. Pancreatic duct is dilated throughout its course all the way to the ampulla.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Simple right renal cyst.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.
1.Focal fatty infiltration anterior to the main portal vein. Dilated common bile and pancreatic ductal limited to the ampulla suspicious for a stricture at the level of the ampulla likely benign.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.