Female 60 years old Reason: eval for previously seen hypodensities which may represent metastatic disease seen on OSH CT in pt with etoh cirrhosis and breast mass concerning for malignancy History: eval for previously seen hypodensities which may represent metastatic disease seen on OSH CT ABDOMEN:LIVER, BILIARY TRACT: Prominence of the hepatic fissures, and contour nodularity consistent with chronic liver disease. Subtle T2 hyperintense signal suggests underlying fibrosis. No significant dropout on out of phase images to suggest hepatic steatosis. There is no focal liver lesion. Prominence of the portal vein, likely relating to chronic liver disease. There is no biliary dilatation. SPLEEN: The spleen measures at upper limits of normal at 13.0 cm.PANCREAS: At least 3 cystic lesions in the pancreatic head and uncinate process. The largest measures 1.9 x 2.1 cm and contains thin internal septations. No convincing solid enhancing component is identified. There is no pancreatic duct dilatation. This is not identified on prior CT abdomen.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Multiple mildly prominent porta hepatis lymph nodes which can be seen in the setting of chronic liver disease.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.
1. Multiple pancreatic head and uncinate process cysts. The largest measures 2.1 cm and is minimally complex containing thin internal septations. This may represent a mucinous cystic neoplasm. The appearance is somewhat atypical for IPMN. Consideration should be given to EUS and GI oncology opinion. 2. Findings consistent with chronic liver disease.