Hepatitis C cirrhosis with IPMN. ABDOMEN:LIVER, BILIARY TRACT: The liver is nodular with widened fissures and left and caudate lobe hypertrophy with reticular T2-weighted signal consistent with cirrhosis and fibrotic changes. No focal suspicious lesion. No vascular abnormality. No specific evidence of portal hypertension.No intrahepatic or extrahepatic biliary ductal dilatation. Partially contracted gallbladder.SPLEEN: The spleen is normal in size without a focal lesion.PANCREAS: The pancreas is normal in morphology, signal intensity and enhancement. Stable 9 mm pancreatic head cystic lesion without pancreatic ductal communication or enhancing components compatible with a sidebranch IPMN. There is a lobulated 6 mm pancreatic head and 3 mm pancreatic body cystic lesion without communication with or dilatation of the pancreatic duct compatible with side branch IPMNs, unchanged.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Small gastrohepatic lymph nodes are not unexpected in the setting of cirrhosis.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Cirrhosis without a suspicious hepatic lesion.2.Stable side-branch IPMNs.