51 years, Female, Reason: Abnormal MRCP, biliary stricture on MRCP, jaundice History: Jaundice. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is a stent within the distal common bile duct. The proximal common bile duct is mildly dilated through 11 mm with mild intrahepatic biliary ductal dilatation. The stent appears patent. No stones or obstructing biliary lesions are evident.SPLEEN: No significant abnormality noted.PANCREAS: Main pancreatic duct is dilated with numerous dilated outpouchings. There is a structure within the body of the pancreas (500/5) which measures approximately 11 mm. There is also multi-focal stricturing within the distal pancreatic duct in the head of the pancreas with areas of narrowing and dilatation. A distinct communication with the duodenum is not evident, likely due to stricturing. Overall these findings are compatible with chronic pancreatitis.An accessory pancreatic duct is seen only on secretin stimulated images, corresponding to findings on prior ERCP. Response to secretin is within normal limits.There is low T1 signal within the pancreas and increased peripancreatic T2 signal which suggests an acute component of pancreatitis.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Atrophic right kidney.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.Acute on chronic pancreatitis with regions of multifocal stricturing, including a dominant stricture detailed above.2.Patent common bile duct stent with mild intrahepatic biliary ductal dilatation.