Abdominal pain. Evaluate for pseudocyst or chronic pancreatitis. Pancreatic head biopsy 10/2/2015 without malignancy identified. ABDOMEN:LIVER, BILIARY TRACT: The liver measures 20 cm in craniocaudal dimension. No intrahepatic biliary ductal dilatation. Normally distended gallbladder without gallstones or inflammation.The vessels are patent. No suspicious liver lesion.SPLEEN: The spleen is normal in size.PANCREAS: Adjacent to the right anterolateral aspect of the pancreatic head abutting the adjacent duodenum/gastric pylorus there is a region of heterogeneous low T1 weighted signal intensity with mild postcontrast predominately peripheral enhancement and central T2-weighted intermediate hyperintensity. There is no associated pancreatic ductal dilatation or significant parenchymal atrophy. There is no discrete restricted diffusion. The degree of peri-pancreatic inflammatory changes seen on prior CT is significantly improved.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Subcentimeter left renal inferior pole cyst.BOWEL, MESENTERY: Colonic diverticulosis.BONES, SOFT TISSUES: Small fat containing periumbilical hernia without complication.OTHER: No significant abnormality noted.
Adjacent to the right anterolateral aspect of the pancreatic head is a heterogeneous T1 and T2 weighted signal intensity focus (or clustered foci) with mild peripheral enhancement suggestive of stigmata of previously documented acute pancreatitis. No discrete lesion is evident. However, continued surveillance imaging is suggested to document resolution and/or decrease in size.