63-year-old male with chronic diarrhea and low fecal elastase. No known history of pancreatitis. Evaluate for evidence of chronic pancreatitis. ABDOMEN:LIVER, BILIARY TRACT: No evidence of intra-or extrahepatic biliary ductal dilation. No focal mass lesions are identified. SPLEEN: No significant abnormality noted.PANCREAS: Incidental note is made of pancreatic divisum. There is no dilation of the main pancreatic duct. There is no atrophy of the pancreas. Although assessment for calcifications would be better performed by CT examination, no foci of signal abnormality are identified to suggest calcification within the pancreas. No mass lesions are identified. ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: None is made of multiple simple cysts within the kidneys bilaterally. Numerous subcentimeter foci of fluid signal intensity are too small to characterize, but likely represent simple cysts.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.
Findings consistent with pancreatic divisum without MRI findings of chronic pancreatitis, as clinically questioned.