History of known pancreatic cyst. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal morphology, size and signal intensity. Two subcentimeter punctate cysts. Status post cholecystectomy. No intra or extra hepatic biliary ductal dilatation. No common bile duct filling defect.Several small nonspecific periportal lymph nodes.SPLEEN: No significant abnormality noted.PANCREAS: There are several punctate cystic foci in the pancreatic tail best seen on the thin MRCP images. The largest measures approximately 4 mm (series 4/16), communicates with the main pancreatic duct which is normal in caliber. No suspicious imaging features of this lesion. Additional punctate focus in the pancreatic head measures 4 mm.The pancreatic parenchyma is normal in intrinsic T1-weighted signal intensity and demonstrates normal contrast enhancement. No peripancreatic inflammatory changes.Normal excretory response to secretin administration. ADRENAL GLANDS: Right adrenal lipid rich adenoma measuring 2.2 x 1.3 cm (series 1102/45). KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Susceptibility artifact from lumbar spinal fusion hardware.OTHER: No significant abnormality noted.
Punctate cystic pancreatic foci, the largest of which measures approximately 4 mm and communicates with a normal caliber main pancreatic duct, compatible with a side-branch IPMN without suspicious imaging features.