MRI - 3 weeks later
Axial T2 fat sat
Coronal T2 fat sat
MRCP
Coronal T1 C+ fat sat
Axial T1 fat sat
Axial T1 C+ fat sat
Axial T1 C+ fat sat
Axial T1 C+ fat sat
Axial T1 C+ fat sat
Similar dilatation of the main pancreatic duct, 4 mm. Similar small peripheral enhancing T2 hyperintense collections along the pancreatic tail likely reflecting small pseudocysts, with a larger collection extending to the posterior gastric fundus, measuring 1.1 x 0.7 cm.
A serpentine peripherally enhancing, T2 hyperintense collection ascends along the medial aspect of the pancreatic tail through retroperitoneum and diaphragmatic crura and communicates with the left pleural space. Pleural thickening/enhancement is present. This collection has a maximum axial dimension of 1.6 x 1.5 cm and measures approximately 7 cm in length.