Female 74 years old Reason: 74F h/o chronic pancreatitis History: chronic pancreatitis seen on EGD/EUS ABDOMEN:LIVER, BILIARY TRACT: Liver is normal in morphology. No suspicious hepatic lesions. Hepatic and portal veins are patent. Gallbladder contains a large gallstone. Biliary tree is normal in caliber and course.SPLEEN: No significant abnormality noted.PANCREAS: Heterogeneous appearance of the pancreatic tail and body with loss of the normal pancreatic lobulations. There is a subtle hypoattenuating halo surrounding the pancreas.No discrete lesion is identified. Mild scattered intrapancreatic ductal dilatation. Of note, there is mild persistent tail ductal dilatation with some ductal irregularity. No solid mass is identified.There is normal physiologic response to secretinADRENAL GLANDS: Right adrenal gland nodule that enhances measures 17 x 9 mm previously, 18 x 9 mm.KIDNEYS, URETERS: Status post right nephrectomy. Left kidney enhances homogeneously.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.Improvement in the pancreatic inflammation. The features of the pancreatitis suggests an autoimmune pancreatitis.2.No discrete pancreatic mass is identified.3.Mild scattered intrapancreatic ductal dilatation.4.Normal physiologic response to secretin.5.No change in the right adrenal nodule.