69-year-old female with history of persistently elevated lipase, endoscopic ultrasound concerning for cystic lesion in the pancreatic tail. ABDOMEN:LIVER, BILIARY TRACT: Multiple T2 hyperintense simple and minimally complex cysts are scattered throughout the liver. The largest is in the inferior right lobe of the liver measuring 6.9 x 5.7 cm (series 501, image 18).SPLEEN: No significant abnormality noted.PANCREAS: There is a cystic focus in the body/tail the pancreas measuring 0.9 x 0.5 cm with possible communication with the main pancreatic duct. The main pancreatic duct is normal in caliber. There is restricted diffusion of the pancreatic tail distal to the cystic focus.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: Probable hemangioma in the L4 vertebral body.OTHER: No significant abnormality noted.
1.Cystic focus in the body/tail of the pancreas without abnormal enhancement with questionable communication with the pain pancreatic duct. Findings are nonspecific at this size and the differential includes side branch type IPMN, small mucinous neoplasm, or small nonfunctioning islet cell neoplasm. A follow-up endoscopic ultrasound and/or MRCP may be considered in 6-12 months as clinically warranted.