Female; 61 years old. Reason: 61 y/o recurrent acute pancreatitis, dilated PD and CBD with concern of ampullary stricture, but new episode of pancreatitis after double sphincterotomy. ABDOMEN:MRCP SECRETIN STUDY:Normal physiologic response to secretin with pancreatic secretions seen readily filling the duodenum and proximal jejunum. Unchanged anatomic appearance of the biliary tree as detailed on yesterday's MRI exam. Again seen is a dilated main pancreatic duct and common bile duct with possible short segment stricture at the level of the ampulla Vater. A normal caliber ventral accessory pancreatic duct is seen draining into a superiorly located minor papilla.
1. Normal physiologic response to secretin.2. Possible short segment stricture at the level of the ampulla Vater.