24 years, Male, Reason: 24 year old male with history of recurrent acute pancreatitis with progression to chronic calcific pancreatitis, prior MRI/MRCPs have been without secretin. Ordering MRCP with secretin to assess for PD stones History: abdominal pain, pancreatic head calcifications seen on CTs/MRIs. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Loss of signal on out of phase images suggests hepatic steatosis. Status post cholecystectomy.SPLEEN: Small splenule.PANCREAS:The distal main pancreatic duct is dilated to 5 mm without dilatation upon secretin administration. Side branches within the pancreatic tail are also dilated. This is proximal to an area of stricturing within the mid duct. There is a blunted response upon secretin administration filling only the proximal duodenum. There is a filling defect within the distal pancreatic duct measuring 6 mm which likely represents a stone with upstream dilatation. Restricted diffusion is seen within the pancreatic head without peripancreatic edema.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.Findings of chronic pancreatitis including pancreatic ductal dilatation and stricturing as well as a 6-mm stone within the distal pancreatic duct.2.Hepatic steatosis.