60-year-old female with reported pancreatic lesion on outside imaging ABDOMEN:LIVER, BILIARY TRACT: There is loss of signal within the liver, consistent with hepatic steatosis. There is focal fatty sparing affecting segment 4 and along the gallbladder fossa.SPLEEN: No significant abnormality noted.PANCREAS: No increased signal abnormality, abnormal enhancement, or restricted diffusion is identified within the pancreas. The area of low attenuation described on the recent CT examination performed at an outside hospital appears to correspond to an area of signal loss on out of phase sequences appearing most consistent with focal fat deposition in the pancreas. ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Filling defect in the right gonadal vein consistent with the known history of right gonadal vein thrombosis.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.
Outside exam read:1.Area of signal loss on opposed phase imaging sequence, corresponding to the previously described area of hypoattenuation in the pancreatic head/uncinate process on outside CT study, appearance consistent with focal fat deposition. No suspicious mass lesion identified in the pancreas otherwise.2.Right gonadal vein thrombus.3.Hepatic steatosis with sites of sparing as above.