63 years, Female, Reason: 63 yo female has a small body of pancreas mass with mural nodule. Pt noted on OSH imaging to have renal artery aneurysms. Pt needs secretin stimulating MRCP to evaluate pancreas lesion. History: abdominal pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Common bile duct is prominent measuring up to 1.2 cm proximally, however no choledocholithiasis, stricture or mass is evident. There is mild intrahepatic biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: There are multiple outpouchings from the pancreatic duct including a 1.4-cm outpouching in the pancreatic head and a 1.3-cm outpouching in the pancreatic body, both of which appear to communicate with main pancreatic duct. There are multiple smaller subcentimeter outpouchings along the course of the duct. There is a blunted response upon secretin administration. No enhancing pancreatic lesions are evident.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Saccular left renal artery aneurysm measuring 2.4 x 1.9 cm (10/11).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.Multiple small outpouchings along the course of the pancreatic duct likely represent side branch IPMNs.2.Saccular left renal artery aneurysm measuring up to 2.4 cm.