57 years, Female, Reason: 57F with dilated pancreatic duct and side branches. Please evaluate for nodules, masses using secretin protocol History: dilated duct. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Right hepatic lobe T2 hyperintensity likely represents cysts. There is a 8mm lesion in the left hepatic lobe which is dark on all sequences and likely represents calcification. Bile duct is normal in appearance.SPLEEN: No significant abnormality noted.PANCREAS: No suspicious pancreatic lesions.Pancreatic duct is ectatic and dilated within the body and tail to 1.7 cm, consistent with a main duct IPMN. No enhancing component is evident. No obstructing lesions are present. There is a blunted response to secretin. Attenuation within the pancreatic parenchyma is normal.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Simple right renal cyst.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Debris within the bladder.
Findings consistent with a main duct IPMN.