34-year-old male with epigastric pain, loose stool, history of pancreatitis. Pancreas secretin protocol to rule out ductal abnormalities, pseudocyst, parenchymal changes compatible with chronic pancreatitis. ABDOMEN:LIVER, BILIARY TRACT: The T2 hypointense appearance of the hepatic parenchyma with paradoxical increased signal intensity on the out-of-phase sequence is compatible with iron deposition. No intra or extrahepatic biliary ductal dilatation. Scattered subcentimeter T2 hyperintensities are too small to characterize, favor cystic.SPLEEN: Splenic parenchyma with paradoxical increased signal intensity on the out-of-phase sequences compatible with iron deposition.PANCREAS: Normal parenchymal enhancement. No pancreatic ductal dilatation. No surrounding fluid collections. Appropriate secretin response. No pancreatic ductal anomaly.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No hydronephrosis. The subcentimeter T2 hyperintensities of the right kidney are too small to characterize, favor cystic. Symmetric contrast uptake and excretion.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.No evidence for sequelae of chronic pancreatitis. No pancreatic ductal dilatation or pancreatic ductal anomaly. Appropriate response to secretin.2.Iron deposition involving the liver and spleen. Findings were discussed with Dr. Gelrud via telephone on 11/2/2016 at 14:39. 