In the ct chest :mild to moderate pancreatic atrophy with punctate calcification in the region of pancreatic tail do i need more test im 50 y?

Depends: on your medical history and clinical condition, although that was an incidental finding, your doctor / the doctor who ordered the the study would be the best to judge, best wishes

This imaging finding: needs to be interpreted in the light of your clinical circumstances. Pancreatic atrophy and calcification can be suggestive of chronic pancreatitis--have you been diagnosed with this condition? Various guidelines exist for ongoing monitoring of calcifications within the pancreas; sometimes calcifications are a sign of developing cancer. While you may not need immediate testing, follow-up is needed