69 year old male patient with a pancreatic mass. Evaluate for changes and/or abnormalities. ABDOMEN:LIVER, BILIARY TRACT: No focal hepatic lesion is identified. The common bile duct is prominent in size. There is mild intrahepatic biliary ductal dilatation. SPLEEN: No significant abnormality noted.PANCREAS: The main pancreatic duct is dilated, measuring up to 6 mm in diameter. There is a lobulated cystic lesion within the pancreatic head measuring approximately 2.3 x 1.8 cm (image 31, series 9), previously 2.3 x 1.8 cm when measured similarly. This lesion appears to be contiguous with the main pancreatic duct. There is no appreciable internal enhancement. 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.
Grossly stable appearance of a cystic lesion within the pancreatic head without appreciable enhancement and with communication with the main pancreatic duct; this may represent a combined type IPMN.