45-year-old male with possible pancreatic pseudocyst. ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: Occlusion of the splenic vein with multiple collateral vessels noted.PANCREAS: Multiple T2 hyperintense cystic lesions about the pancreatic tail with thin walls. The largest is within the lesser sac and measures up to 10.2 x 10.7 cm (series 12/52), containing a small amount of internal debris and exerting mass effect with anterior displacement of the pancreatic tail and stomach. Multiple additional smaller lesions are seen near the pancreatic tail and extending into the left upper quadrant near the splenic hilum, as well as a small lesion at the lateral aspect of the descending duodenum. The lesions have no demonstrable connection to the main pancreatic duct, which is normal in caliber. Findings are most compatible with multiple pancreatic pseudocysts.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Susceptibility artifact from clips related to prior G-tube noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Findings most compatible with multiple pancreatic pseudocysts with the largest within the lesser sac exerting mass effect as detailed above.