Male; 68 years old. Reason: 67 yo male with hx of pancreas cyst; please do MRCP to evaluate for abnormalities History: pancreas cyst ABDOMEN:LIVER, BILIARY TRACT: Cholelithiasis without evidence of cholecystitis.SPLEEN: No significant abnormality noted.PANCREAS: Cystic lesion in inferior aspect of uncinate process abutting third portion of duodenum is not significantly changed, measuring 2.3 x 2 .2 cm, previously 2.5 x 2.5 cm (series 6, image 35). No enhancing or nodular component. No clear connection with the pancreatic duct is evident.The largest of these is located in uncinate process and measures 1.3 x 1 .1 cm, previously 1.1 x 1.1 cm (image 40; series 8). There is an additional fluid signal intensity lesion in the body of the pancreas, which measures 11 x 8 mm, which appears unchanged when compared to the most recent MRI examination dated 1/14/2014, however, when compared to a earlier MRI dated 7/30/2010, this appears slightly increased in size, previously measuring approximately 4 x 5 mm. Additional smaller cystic lesions are also not significantly changed. No pancreatic ductal dilation. ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Stable small bilateral renal cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Status post median sternotomy.
1. No significant interval change in size of the reference cystic lesions within the uncinate process abutting the duodenum, which may represent a side branch IPMNs.2. No significant interval change in size of the additional smaller cystic lesions throughout the pancreas, when compared to the most recent study dated 1/14/14. However, a cystic lesion in the body of the pancreas appears slightly increased in size when compared to a more remote study dated 7/30/2010, with measurements provided above.3. Cholelithiasis without evidence of cholecystitis.