Multiple pancreatic cysts, likely IPMNs. Follow-up exam. ABDOMEN:LIVER, BILIARY TRACT: Liver is normal in signal and morphology. No focal mass lesion. No intrahepatic or extrahepatic biliary ductal dilatation. Status post cholecystectomy.SPLEEN: No significant abnormality noted.PANCREAS: There is prominent fatty atrophy of the pancreas. There are innumerable cystic foci throughout the pancreas largest of which is in the mid body and measures 16 x 17 mm in axial dimension. There is no appreciable enhancement of any of these lesions on the postcontrast images. The main pancreatic duct remains nondilated.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Multiple simple cysts bilaterally.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.
1.Innumerable cystic lesions in the pancreas measuring up to 1.7 cm in maximum dimension. There is no associated enhancement or dilatation of the main pancreatic duct. The leading differential consideration remains multiple sidebranch IPMNs.