The biliary tree remains non-dilated. There is no evidence of choledocholithiasis. The cystic duct remnant unremarkable. Soft tissue of the same signal intensity and enhancement behaviour of the pancreatic parenchyma is demonstrated to encircle the duodenum.
The main pancreatic duct is non-dilated. There is no focal pancreatic lesion identified. There is no peripancreatic inflammation or fluid collection. There is a sizeable duodenal diverticulum near the ampulla.
Renal cysts. Spleen, adrenal glands are normal. Hypoenhancing sub centimetre liver lesion in segment 2 is visible on HASTE, i.e. C cyst.
Conclusion:
Annular pancreas. There is no pancreatic ductal dilatation, and currently no evidence of acute pancreatitis. No focal pancreatic lesion identified.