Suggest Treatment For Fatty Liver And Prominent Pancreatic Duct

Posted on Fri, 24 Mar 2017

Question: I have a mildly prominent pancreatic duct measuring 0.3 cm. I was diagnosed with a fatty liver two years ago. My Dr. wanted me to get my liver checked again. During this checkup no signs of a fatty liver were found any longer, however this pancreatic issue was discovered. The Dr. reading the exray stated "The pancreas is partially obscured by overlying bowel gas, but appears otherwise unremarkable where visualized." I need to now have a MRCP done. My concern is cancer. Your thoughts would be appreciated.

Answered by Dr. Dr. Ivan Romich (25 minutes later)

Brief Answer:
See next please

Detailed Answer:
Hi and welcome.

I understand you concerns but cancer is not the first thing to think of.

There is just slight dilatation of pancreatic duct and probably doesn't mean anything serious and if there was a tumor, it would have been seen as a hypodense lesion.

Rarely, it may be sign of tumor that obstructed pancreatic duct but in this case tumor would be very small and easily treated. MRCP should be accurate enough to rule out any malignancy.

In addition,you should also get CA19-9 tumor marker and lipase levels done which can help with the diagnosis.

Wish you good health.
Regards

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Above answer was peer-reviewed by : Dr. Arnab Banerjee