Abdominal pain. Pancreatic ductal dilatation on recent CT. ABDOMEN:LUNG BASES: Minimal pleural effusions.LIVER, BILIARY TRACT: Normal liver morphology without focal suspicious lesion or vascular abnormality. The patient is status post cholecystectomy. The common bile duct measures 11 mm, increased and may be secondary to prior cholecystectomy or ampullary stenosis. It tapers smoothly to the ampulla without a discrete mass or gallstone. There is mild left intrahepatic biliary ductal dilatation without a discrete mass evident.SPLEEN: Minimal perisplenic fluid. The splenic vein is chronically occluded with perisplenic collateral vessels.PANCREAS: The distal pancreatic body and tail is decreased in T1 weighted signal and is slightly hypoenhancing relative to the remainder of the kidney compatible with parenchymal dysfunction. The pancreatic duct at this level is irregularly dilated, findings compatible with chronic pancreatitis, as seen on recent CT. There is pancreatic divisum.There is no significant peripancreatic inflammatory changes or fluid collection. The splenic vein is chronically occluded with perisplenic collateral vessels. No additional arterial or venous complication.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted. Single right and left subcentimeter renal cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Colonic diverticulosis. Normal bowel caliber. Redundant folding in the proximal duodenum versus a duodenal diverticulum. BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Trace pelvic free fluid.
1.Findings of chronic pancreatitis with possible mild superimposed acute pancreatitis. Chronic splenic vein occlusion with collateral vessels. No evidence of pancreatic parenchymal necrosis, fluid collections or additional vascular complication.2.The common bile duct measures 11 mm, increased and may be secondary to prior cholecystectomy or ampullary stenosis. It tapers smoothly to the ampulla without a discrete mass or gallstone.3.Pancreatic divisum.