History of weight loss. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in morphology, signal intensity and size, measuring 12.4 cm in the craniocaudal dimension. There is small volume perihepatic ascites. No focal suspicious liver lesion. There is mild dilatation of the common bile duct up to 9 mm which tapers at the level of the pancreatic head, likely related to chronic pancreatitis.Normally distended gallbladder without cholelithiasis.SPLEEN: The spleen is normal in size morphology and signal intensity without a focal lesion.PANCREAS: The pancreatic parenchymal calcifications noted on the comparison CT are not well seen on the MRI, but are compatible with chronic pancreatitis. The main pancreatic duct is mildly irregularly dilated. The duct is seen traversing the pancreatic head, speaking against a mass lesion. The findings and morphology favor chronic pancreatitis, although the examination is limited by lack of intravenous contrast..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: Small bilateral pleural effusions with compressive atelectasis.
1.Limited nonenhanced MRCP.2.Findings of chronic pancreatitis including irregular mild main pancreatic ductal dilatation and narrowing. The duct traverses the masslike pancreatic head, speaking against an underlying mass lesion, and compatible with stigmata of chronic pancreatitis. 