History of pancreatic cyst. Evaluate for interval change. ABDOMEN:LIVER, BILIARY TRACT: Liver is normal in pathology, size and signal intensity. No focal suspicious lesion, biliary ductal dilatation or vascular abnormality. Mild CBD intraluminal heterogeneity favored to be artifactual. Status post cholecystectomy. SPLEEN: No significant abnormality noted.PANCREAS: At the junction of the pancreatic head and uncinate process there is a 1.8 x 1.7 cm unilocular somewhat lobulated cystic lesion (series 4/21), previously measuring 1.6 x 1.3 on CT from 2012. It does not clearly communicate with the main pancreatic duct. There is no abnormal postcontrast wall thickening or mural nodularity. The main pancreatic duct is normal in caliber. There are scattered punctate cystic foci in the pancreatic parenchyma suggestive of sidebranch IPMNs.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.
Minimal interval increase in the size of the unilocular lobulated cystic lesion at the pancreatic head and uncinate process without definite communication with the main pancreatic duct or suspicious imaging characteristics. Continued surveillance imaging is suggested.