History of pancreatitis 9/2013 and pancreatic cyst. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in morphology, signal intensity and enhancement. No focal suspicious lesion. No biliary ductal dilatation or vascular abnormality.Normally distended gallbladder. Focal cystic thickening of the gallbladder wall compatible with adenomyomatosis. Small amount of pericholecystic fluid is nonspecific. No additional secondary findings to suggest acute cholecystitis.SPLEEN: 1.0 x 1.0 cm pancreatic head unilocular cystic lesion without mural nodularity or abnormal enhancement. It communicates with the main pancreatic duct and is compatible with a sidebranch IPMN, unchanged. Additional, subcentimeter T2-hyperintense lesions located more distally in the pancreas are also unchanged, and likely represent side-branch IPMNs.No pancreatic ductal dilatation.The pancreas is mildly decreased in signal intensity likely reflecting sequela of prior pancreatitis. No specific evidence of acute pancreatitis currently with normal enhancement and without peripancreatic fluid collections, arterial or venous complication.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral subcentimeter renal cysts. No hydronephrosis or suspicious focal lesion.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Scoliosis.OTHER: No significant abnormality noted.
1.No significant interval change in the pancreatic head side branch IPMN. Additional stable subcentimeter cystic lesions likely reflect side-branch IPMNs.2.Sequela of prior pancreatitis. No evidence of acute pancreatitis or complication thereof.3.Nonspecific small amount of pericholecystic fluid without additional findings of acute cholecystitis.