82-year-old male with history of Whipple surgery and recurrent pancreatitis. Evaluate for complications of pancreatitis or stricture. LIVER, BILIARY TRACT: No suspicious hepatic lesions. Gallbladder is surgically absent. No biliary ductal dilation. Portal vein is patent. SPLEEN: No significant abnormality noted.PANCREAS:Postoperative changes from Whipple surgery, similar to prior MRI in 2011. Main pancreatic ductal dilation measuring up to 5 mm with side branch duct dilation, similar to prior MRI in 2011. Again the main pancreatic ductal dilation extends to the pancreaticojejunostomy. Stable mild, diffuse pancreatic atrophy. No focal pancreatic lesions or ductal filling defects are seen.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Prominent peripancreatic lymph nodes are noted, but there are no pathologically enlarged lymph nodes by size criteria.BOWEL, MESENTERY:Post Whipple changes reidentified.BONES, SOFT TISSUES: Midline incisional hernia without evidence of bowel obstruction.OTHER: No significant abnormality noted.
Stable postoperative appearance of the pancreas since prior MRI of 2011. Mild stricture at the pancreaticojejunostomy cannot be excluded, but there has been no progressive pancreatic ductal dilation.