History of pancreatic cystic lesion. Presents for follow-up. ABDOMEN:LIVER, BILIARY TRACT: Diffuse fatty infiltration of the liver. The liver is normal morphology, size and enhancement. No focal suspicious lesion. Stable segment 8 probable flash filling hemangioma. (Series 1001/237)Stable segment 8 punctate cyst. (601/32)No biliary ductal dilatation or vascular abnormality. Normally distended gallbladder.SPLEEN: The spleen measures 15 cm in craniocaudal length without a focal lesion.PANCREAS: Several small cystic lesions are again noted in the pancreas. The largest is in the pancreatic head and measures 1.2 x 0.9 cm (series 401/27) compared to 7 x 5 mm previously.A lesion in the tail measures 1.0 x 0.8 cm (series 401/29), compared to 7 mm previously. These lesions do not clearly communicate with the main pancreatic duct which is normal in caliber. The pancreas demonstrates normal signal intensity and morphology otherwise. No peripancreatic inflammatory changes.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Punctate right renal too small to characterize hyperintensity, probable a small benign renal cyst.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.
Mild interval increase in the size of the nonspecific cystic lesions within the pancreatic head and tail now measuring 1.2 and 1.0 cm respectively. No definite communication with the main pancreatic duct which is normal in caliber. Given their small size evaluation for mural nodularity/enhancement is limited. Given this limitation no suspicious postcontrast imaging features are evident. EUS/FNA sampling should be considered. At least continued imaging follow-up is recommended.Hepatic steatosis.Borderline nonspecific splenomegaly, unchanged.