49-year-old male patient with history of IPMN. Follow-up imaging. ABDOMEN:LIVER, BILIARY TRACT: Again seen is a septated cystic lesion in the uncinate process of the pancreas that measures 1.4 x 1.0 cm (series 3 image 43), previously 1.7 x 0.8 cm. A similar tubular cystic lesion in the pancreatic head measures 1.0 cm (series 3 image 53), unchanged. There are a few smaller cystic projections seen in the body and tail, which also appears similar compared to prior examination and are all less than 1 cm in size. These smaller cystic projections appear to communicate with the pancreatic duct, likely representing side branch IPMNs.Incomplete pancreatic divisum.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.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.
Similar size of probable IPMNs in the uncinate process and pancreatic tail as well as punctate probable side branch IPMNs. No suspicious enhancement.