71-year-old female patient with history of severe chronic abdominal pain and question of ampullary mass seen on previous imaging. Previous EGD/EUS revealed no ampullary or pancreatic pathology. Three-month follow-up examination. ABDOMEN:LIVER, BILIARY TRACT: Moderate intrahepatic biliary ductal dilatation, more pronounced on the left side, is similar to the prior study. The common bile duct is prominent in diameter, however, no definite obstructing mass is identified. No suspicious hepatic lesion is seen. The gallbladder is absent.SPLEEN: No significant abnormality noted.PANCREAS: The pancreatic duct is slightly beaded in appearance. The pancreas demonstrates diminished T1 hyperintensity with atrophy of the body and neck compatible with chronic pancreatitis. Scattered subcentimeter cystic foci within the pancreas are compatible with sidebranch IPMNs. No suspicious pancreatic mass or ampullary mass is identified.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: A minimally complex septated right renal cyst is stable. Probable subcentimeter left renal cysts. RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: L1 hemangioma. OTHER: No significant abnormality noted.
1. Stable biliary ductal dilatation without evidence of an obstructing lesion or ampullary mass.2. Scattered cystic pancreatic lesions compatible with sidebranch IPMNs.3. Imaging findings compatible with chronic pancreatitis. 