Reason: Assess IPMN History: Hx of IPMN ABDOMEN:LIVER, BILIARY TRACT: The liver demonstrates normal background parenchymal signal intensity and enhancement. There is redemonstration of several hepatic cysts, not significantly changed. No suspicious focal hepatic lesions are identified.The hepatic vasculature appears patent.Status post cholecystectomy. No intrahepatic biliary duct dilatation. Common bile duct measures up to 8 mm in diameter, not significantly changed.SPLEEN: No significant abnormality noted.PANCREAS: The pancreas demonstrates normal background parenchymal signal intensity and enhancement. There is redemonstration of a cystic lesion within the uncinate process which possibly communicates with the pancreatic duct and which most likely represents a sidebranch intraductal pancreatic mucinous neoplasm, not significantly changed in size with reference measurements below. The lesion lacks suspicious features such as a solid components or enhancement. The pancreatic duct is not dilated. No additional focal pancreatic lesions are identified.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Small duodenal diverticulum; unchanged.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.INDEX LESION MEASUREMENTS (Current exam date/time: 9/16/2016 12:40:56)PANCREATIC UNCINATE PROCESS CYSTIC LESION: 1.6 x 1.5 cm (Image 16, Series 501); 1.7 x 1.6 cm on prior (9/29/2014) (Image 7, Series 4).
Cystic lesion in the uncinate process of the pancreas compatible with a sidebranch IPMN, not significantly changed.