64 year-old male with sharp disabling pain across the upper abdomen before meals. ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: There is a subcentimeter focus of fluid signal intensity in the body of the pancreas which is too small to characterize but may represent a branch type IPMN or cyst.ADRENAL GLANDS: There is a 1.7 x 1.3 cm left adrenal nodule with loss of signal on out of phase imaging and fat saturated sequences consistent with a lipid rich adrenal adenoma. KIDNEYS, URETERS: Multiple subcentimeter foci of fluid signal intensity are identified in the kidneys, which are too small to characterize, likely represent simple cysts. Simple cysts in the left kidney.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: There is a large amount of debris, as well as an air-fluid level within a distended stomach.BONES, SOFT TISSUES: Leftward curvature of the lower thoracic spine.OTHER: No significant abnormality noted.
1.Large amount of debris with associated air fluid level within a distended stomach is nonspecific but can be seen in gastroparesis. Correlation with a nuclear medicine gastric emptying study could be considered if clinically indicated. 2.Left adrenal nodule appears most consistent with an adrenal adenoma. 3.Subcentimeter cystic lesion in the body of the pancreas may represent a branch type IPMN or cyst. 