History of chronic pancreatitis and pancreatic pseudocyst status post stent placement for drainage. ABDOMEN:LIVER, BILIARY TRACT: Stable small right hepatic cyst.SPLEEN: No significant abnormality noted.PANCREAS: There is a small fluid collection within the pancreatic body (series 9, image 16) measuring 9 x 11 mm, previously 8 x 8 mm. There is a stable cystic lesion within the pancreatic tail (series 9, image 14) measuring 9 x 9 mm which is suspicious for a side branch IPMN. There is no associated mural nodularity or significant enhancement. There is a new cystic lesion within the more proximal pancreatic tail (series 9, image 14) measuring 9 x 10 mm and which is most consistent with a new pseudocyst. The pancreatic parenchyma demonstrates loss of intrinsic T1 signal. There is pancreatic atrophy most prominent in the pancreatic body and tail, increased from the prior exam. The pancreatic duct is irregular and demonstrates mild dilation, slightly increase in the tail compared to the prior examination measuring up to 5 mm. Post secretin images demonstrate nonvisualization of the proximal pancreatic duct which may at least in part be due to a stent. There is fluid accumulation in the second and third portions of the duodenum that appears to traverse distally.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.
1.Slight increase in size of pancreatic body pseudocyst now measuring up to 1.1 cm and formation of new 1.0 cm pseudocyst in the pancreatic tail.2.Suspected pancreatic duct stricturing of the pancreatic body with mildly increased ductal dilatation and atrophy involving the pancreatic tail.3.Stable cystic lesion in pancreatic tail, suspicious for sidebranch IPMN.