Possible exocrine pancreatic insufficiency. ABDOMEN:LIVER, BILIARY TRACT: Mild hepatic steatosis. No focal liver lesion or vascular abnormality. The patient is status post cholecystectomy. The common bile duct measures up to 1 cm and there is mild intrahepatic biliary duct dilatation. At the distalmost CBD there is persistent focal circumferential narrowing measuring approximately 11 mm in length, appearance consistent with that of a benign stricture. No discrete mass lesion or intraductal filling defect seen. This likely represents postcholecystectomy state.SPLEEN: Normal splenic size without a focal lesion.PANCREAS: The pancreas is normal in morphology, size, signal intensity and enhancement. The main pancreatic duct is normal in caliber. No evidence of inflammation. Following secretin administration there is adequate main pancreatic ductal compliance and parenchymal excretory function without side branch ectasia.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Punctate bilateral simple appearing cysts. No hydronephrosis or suspicious renal lesion.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.
Benign distal CBD stricture (measuring 11 mm in length) suspected with mild upstream extrahepatic and intrahepatic biliary ductal dilatation also seen. Hepatic steatosis. Otherwise no findings to suggest pancreatic exocrine insufficiency.