Male 42 years old Reason: Examine distal pancreas to r/o evidence of malignancy History: recurrent pancreatitis, cystic lesion in tail ABDOMEN:LIVER, BILIARY TRACT: Liver is normal in morphology. No suspicious hepatic lesions. Biliary tree is without diagnostic abnormality.SPLEEN: No significant abnormality noted.PANCREAS: There is focal enlargement of the pancreatic tail with small cystic focus representing measuring 7 x 7 mm. Previously this measured 1.0 x 0.9 cm. This area has slight abnormal enhancement. This is similar sized lesion adjacent to this at the tip of the tail. The peripancreatic inflammation has mostly resolved. Splenic vein is patent. Pancreatic duct is normal in caliber.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Subcentimeter left renal cyst. No hydronephrosis.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.Improvement in the pancreatic inflammation involving the tail.2.Cystic pancreatic focus in the pancreatic tail is decreased in size.3.Persistent mild enlargement of the pancreatic tail with slight abnormal enhancement but no definite underlying lesion. A follow-up exam in 6 weeks to 3 months after the resolution of the pancreatitis is recommended.