82-year-old male with history of Whipple for ampullary adenoma in 2008 now with multiple episodes of documented recurrent acute pancreatitis and pancreatic ductal dilatation. Evaluate. ABDOMEN:LIVER, BILIARY TRACT: No intra or extrahepatic biliary ductal dilatation with evidence of a hepaticojejunostomy. Gallbladder is surgically absent. No suspicious hepatic lesions; portal vein is patent.SPLEEN: No significant abnormality noted.PANCREAS: Postoperative changes of Whipple procedure. Pancreatic duct is dilated to approximately 5 mm. No evidence of an obstructing mass in the pancreatic body. Poor intrinsic T1 hyperintensity and mild increased T2 hyperintensity of the pancreatic parenchyma.Nonspecific subcentimeter peripancreatic lymph nodes.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Subcentimeter right renal cyst.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Small incisional hernia without evidence of bowel obstruction.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.No evidence of obstructing pancreatic body mass.2.Mildly dilated pancreatic duct may be secondary to mild stricture at the pancreaticojejunostomy/changes of chronic pancreatitis, not siginificantly changed.