55-year-old man with history of pancreatitis and IPMN, now with a lipase of 137 and abdominal pain. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in signal and morphology. The gallbladder is normal. There is no intra hepatic biliary duct dilatation. The common bile duct is mildly prominent 8 mm but is unchanged from the prior exam.SPLEEN: Spleen is normal.PANCREAS: Two subcentimeter foci of increased T2 signal (series 501, images 29 and 31) communicate with the main pancreatic duct and are unchanged from the prior examination. The main pancreatic duct is prominent but stable from the prior exam. The pancreatic parenchyma appears normal.ADRENAL GLANDS: The adrenal glands are normal.KIDNEYS, URETERS: There is a right upper pole renal cyst. The kidneys are otherwise normal and enhance symmetrically. Small amount of perinephric fluid is noted bilaterally, likely chronic.RETROPERITONEUM, LYMPH NODES: No significant lymphadenopathy noted.BOWEL, MESENTERY: No significant abnormality noted in the partially visualized small bowel and colon.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Unchanged sidebranch IPMNs.2.No MR findings to explain acute abdominal pain.