74 years, Male, Reason: 74M with hx of pancreatic pseudocyst History: Pancreatic pseudocyst. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholelithiasis. Mild hepatic steatosis.There is narrowing of the distal common bile duct, however the proximal common bile duct itself is normal in caliber. There is mild intrahepatic biliary ductal dilatation.SPLEEN: Splenic vein thrombosis is unchanged.PANCREAS: Fluid collection along the body of the stomach has resolved. There is normal enhancement of the head, neck and proximal body of the pancreas with atrophy of the distal body and tail.There is a blunted response to secretin administration with multiple dilated side branches along the course of the main pancreatic duct. The main pancreatic duct has areas of narrowing and irregularity.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral renal cysts.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.Resolution of peripancreatic fluid collection.2.Findings of chronic pancreatitis with irregularity and dilated side branches along the pancreatic duct.3.Stenosis of the distal common bile duct with mild intrahepatic biliary ductal dilatation.4.Stable splenic vein thrombosis.5.Cholelithiasis.