History of hepatitis B and family history of pancreatic cancer. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in morphology, signal intensity and size. Normal postcontrast enhancement. Punctate hepatic cysts are present. No suspicious liver lesion or vascular abnormality. Contracted gallbladder without biliary ductal dilatation.SPLEEN: Normal size spleen without focal lesion.PANCREAS: Normal variant ductal anatomy. No focal suspicious lesion. In the distal pancreatic tail there is a 1.7 x 1.7 cm lesion which matches splenic intensity on some but not all imaging sequences.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral renal cysts. No hydronephrosis or suspicious lesion.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
No suspicious liver. 1.7 cm distal pancreatic tail hyperenhancing lesion matches splenic intensity on some but not all imaging sequences. Although this likely represents a intrapancreatic accessory spleen this is not confirmed. A nuclear medicine damaged RBC scan is recommended to confirm that this is splenic tissue.