38-year-old with history of pancreatitis and history of prior abnormal pancreatic imaging. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in signal and morphology. No focal hepatic lesions identified.Patient is status post cholecystectomy. There is no intra or extrahepatic biliary ductal dilatation.SPLEEN: The spleen is normal.PANCREAS: There is mildly increased diffusion restriction in the uncinate process, head, and tail of the pancreas with mild infiltration of the surrounding fat planes.The main pancreatic duct appears normal in caliber. There is no pancreas divisum. An 8 mm nonenhancing, T2 bright focus in the neck of the pancreas (9/33) appears to communicate with the main pancreatic duct. Additionally, there is a punctate focus of T2 hyperintensity in the pancreatic tail (9/25).ADRENAL GLANDS: No significant abnormality .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.Subacute pancreatitis involving the head and tail.2.Subcentimeter sidebranch IPMN in the pancreatic neck. Additional nonspecific punctate cystic lesion in the pancreatic tail, could represent a tiny pseudocyst or additional sidebranch IPMN.