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previously visited 070807 PANCREATITIS WITH DUCTAL DILATATION, SUSPICIOUS STONE-INDUCED Random Case
Authored By: pedrad CSH, Radiologist, Chung Shan Medical University Hospital, Taiwan.
Patient: 7 year old female
History:

Chronic intermittent abdominal pain
Recent attack since 4 days ago

Elevated amylase, 242 IU/L (> 90 IU/L)
Elevated lipase, 292 U/L (> 60 U/L)

Images:[small]mediumlargeas-submittedimages only

Fig. 1: Abdominal ultrasound

Fig. 2: Pancreas MRI, T2WI, T1WI, and intravenous gadolinium-enhancement.

Fig. 3: heavily T2 projective MR cholangiopancreatography (MRCP)

Fig. 4: Dynamic MRCP
Images:[small]mediumlargeas-submittedimages only
Findings: Abdominal ultrasound (fig.1):
Moderate dilatation of main pancreatic duct at level of body and tail.

Pancreas MRI, including dynamic MRCP (fig.2-4)
1. Moderate dilatation of main pancreatic duct at level of body and
   tail.
2. A non-enhancing short T2 lesion in main pancreatic duct,
   at level of neck, with somewhat ovoid shpae, pancreatic duct
   stone may be considered.
Diagnosis: Pancreatitis with ductal dilatation, suspicious stone-induced.
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Additional Details:

Case Number: 10326055Last Updated: 08-25-2007
Rating:

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Anatomy: Gastrointestinal (GI)   Pathology: Non-Infectious Inflammatory Disease
Modality: MR, US, 3D ReconstructionAccess Level: Readable by all users
Keywords: pancreatitis, stone, mrcpACR: 770.297Contained in: ahmeeed
Case has been viewed 1413 times.

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