Reason: 25 yo M with 1 documented episode of acute pancreatitis, s/p chole 2 years ago, also w/ reported biliary stricture s/p biliary stent at OSH, and chronic abd pain. MRI/MRCP w/ stent removed to assess bile ducts and pancreas for pathology., w/ secretin History: history of pancreatitis, chronic abdominal pain ABDOMEN:LIVER, BILIARY TRACT: The proximal common bile duct is mildly dilated up to 7 cm with a focus of short segment narrowing (901/17) of the mid common bile duct and irregularity distally. Minimal intrahepatic biliary ductal dilatation. SPLEEN: No significant abnormality noted.PANCREAS: Main pancreatic duct is mildly prominent measuring 3 mm. No dilated side branches. Normal signal on precontrast T1 images. Appropriate response to secretion administration. No edema or diffusion restriction to suggest acute pancreatitis.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.Mild dilatation of the pancreatic duct without specific findings of acute or chronic pancreatitis.2.Short segment stricture of the mid common bile duct with distal irregularity and mild proximal dilatation