58 years, Male, Reason: 58 yo M with SB-IPMN please r/o growth or tumor History: 58 yo M with SB-IPMN please r/o growth or tumor. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Mild loss of signal on phase images suggest steatosis. Common bile duct appears normal. No gallstones. No intrahepatic biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: Pancreatic duct is prominent. Normal response to secretin administration. Mild atrophy of the pancreatic tail. There are 4 punctate cysts within the tail which do not definitively communicate with the main pancreatic duct.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral subcentimeter nonenhancing renal cysts.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.
1.Punctate cystic lesions in the tail of the pancreas are nonspecific and with no definitive communication with the main pancreatic duct. 2.Main pancreatic duct is mildly prominent with mild atrophy of the tail. No suspicious pancreatic lesions.3.Hepatic steatosis.