Male; 37 years old. Reason: 37 yo M hx of severe ETOH induced necrotizing pancreatitis, follow up MRI/MRCP is ordered to evaluate the pancreatic parenchyma and pancreatic duct History: hx of severe acute necrotizing pancreatitis ABDOMEN:LIVER, BILIARY TRACT: Mild diffuse hepatic steatosis. No focal hepatic lesions.SPLEEN: No focal splenic lesions. There is attenuation of the splenic vein, which is patent. Perisplenic varices are seen. Together, the findings are suspicious for prior splenic vein thrombosis with recanalization.PANCREAS: No focal pancreatic mass. Normal T1 signal and volume of the pancreas. Homogeneous enhancement of the pancreas on postcontrast images without evidence of pancreatic necrosis. No peripancreatic fluid collections. Pancreas divisum anatomy is with a dorsal pancreatic duct draining most of the pancreas via a superiorly located minor papilla and a ventral duct draining via the major ampulla. No pancreaticobiliary tree dilation. Normal physiologic response to secretin.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.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 of acute or chronic pancreatitis.2.Pancreas divisum anatomy. No pancreaticobiliary tree dilation.3.Hepatic steatosis.4.Perisplenic varices, likely due to prior splenic vein thrombosis with recanalization.