Wednesday, August 12, 2009

Pancreatic Divisum-MRCP







MRCP FINDINGS:
Gallbladder is distended and there is no evidence of any filling defects within the lumen. Wall thickness is normal. There is no evidence of dilatation of the intrahepatic biliary radicles. Confluence of the right and left hepatic duct is patent. CBD is of normal caliber and no filling defect or calculus is seen within CBD. Dorsal pancreatic duct appears to open cranial to the opening of the CBD along with a small ventral pancreatic duct opening with the CBD in the region of major papilla. This may indicate a diagnosis of pancreatic divisum, further in view of history of recurrent pancreatitis. There is some beading in the pancreatic duct in pancreatic tail region. ERCP is suggested. Reported by Teleradiology Providers

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