Reason: Evaluate hepatobiliary and pancreatic abnormalities seen on CT scan. Known ascending carcinoma of the colon. History: As above ABDOMEN:LIVER, BILIARY TRACT: Subcentimeter T2 hyperintense lesions in the hepatic dome and left hepatic lobe without enhancement likely represent cysts. No suspicious hepatic lesions. No extrahepatic biliary ductal dilatation. Minimal intrahepatic biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: Cystic lesion in the pancreatic tail measures 2.2 x 1.4 cm (601/33) and appears to communicate with the main pancreatic duct, which is not dilated. No enhancement is evident.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral simple appearing renal cysts measuring up to 5.7 cm in the left lower pole.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Extensive colon diverticulosis without evidence of diverticulitis. Apparent soft tissue signal in the cecum/ascending colon on axial T2-weighted images with possible corresponding restricted diffusion, image 48 series 706. However please note that this study is not protocoled for adequate evaluation of bowel.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Small subcentimeter T2 hyperintensities within the liver likely represent cysts. No suspicious hepatic lesion evident.2.Cystic lesion in the pancreatic tail likely represents a side branch IPMN.3.Reported ascending colon adenocarcinoma not seen with certainty (please note that this study is not protocoled for adequate evaluation of bowel). 2.5 cm area of apparent restricted diffusion along dependent aspect of proximal ascending colon/cecum, no definite corresponding postcontrast enhancement seen on subtraction imaging sequences. Correlation with patient's colonoscopy recommended.