Reason: Has there been a chang in this man's History: 91 Y/O had EUS 5-9-13 which showed branched IPMT confirmed by needle aspiration. Last MRCP 4-29-15 was stable. Pt doing well. Any worrisome changes on MRCP? ABDOMEN:LIVER, BILIARY TRACT: The comment bile duct is prominent measuring 11 mm, unchanged. Punctate T2 hyperintensities throughout the liver are unchanged, likely cysts.SPLEEN: Subcentimeter splenic cyst is stable.PANCREAS: There is low T1 signal throughout the pancreas with atrophy, similar to the prior exam. There are numerous scattered cystic lesions throughout the pancreas, particularly in the head and uncinate, some of which are slightly increased since the prior exam. Reference lesion is stable measuring 13 mm (5/69), previously 12 mm. A larger cyst more inferiorly along the third portion of the duodenum is slightly increased in size measuring 20 mm (5/56), previously 16 mm. A cyst in the pancreatic tail is slightly increased measuring 13 mm (7/18), previously 8 mm. The main pancreatic duct is nondilated. No abnormal enhancement is identifiedADRENAL 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: Mild scoliosis of the lumbar spine.OTHER: No significant abnormality noted.
Multiple cystic lesions throughout the pancreas measuring up to 2 cm likely represent side branch IPMNs, some of which are slightly increased in size. 