64-year-old female patient with incidental pancreatic body cystic lesion measuring 22 x 14 mm on US. Aspirate CEA of 62.9 and amylase of 765. Needs MRCP to evaluate for change. ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: There are many mildly T2 hyperintense, T1 hypointense lesions throughout the spleen that do not enhance.PANCREAS: Multilobulated T2 hyperintense lesion with thin septations in the pancreatic body appears to communicate with the pancreatic duct and measures 2.5 x 1.9 cm (series 5 image 55). There are multiple smaller probable side branch IPMNs. No pancreatic ductal dilatation.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: There is a T1 hyperintense lesion in the superior pole of the right kidney that likely represents hemorrhagic cyst. The lesion does not enhance.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.Lesion of interest in pancreatic body favored to be a side branch IPMN containing thin septations (pancreatic pseudocyst considered less likely given no reported pertinent clinical history or findings suggesting prior pancreatitis), multiple additional punctate side branch IPMNs also seen.2.Multiple lesions throughout the spleen, may reflect sequelae of prior infectious/inflammatory process, correlation with patient's clinical history recommended.