History of pancreatic cyst December 2006. EUS at that time was consistent with pseudocyst. Presents with bloating, gas and altered bowel habits. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in morphology, size and signal intensity. Several scattered liver cysts.No suspicious liver lesion biliary ductal dilatation or vascular abnormality.Normally distended gallbladder.The vessels are patent.SPLEEN: The spleen is normal in morphology size signal intensity and enhancement without a focal lesion.PANCREAS: In the pancreatic body there is a 1.7 x 1.3 cm lobular cystic lesion (series 8/24). There is no upstream pancreatic ductal dilatation or parenchymal atrophy. There is a component of the lesion which demonstrates intrinsic T1 weighted moderate hyperintensity suggestive of proteinaceous/hemorrhagic products. Postcontrast and subtraction images demonstrated internal enhancing components. There may be small septations as well. The lesion does not appear to communicate with the pancreatic duct.The pancreas parenchyma is normal in intrinsic T1-weighted signal intensity. Following secretin administration there is appropriate excretory response without ductal ectasia.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.
New pancreatic body solid-cystic lesion measuring 1.7 cm demonstrating internal enhancing components, suspicious for a malignancy such as an islet cell tumor and less likely a mucinous neoplasm. 