Pancreatic tail mass on CT. Evaluate for changes/abnormality. ABDOMEN:LIVER, BILIARY TRACT: There are numerous bilobar T2 hyperintense lesions the majority of which are subcentimeter, von Meyenburg complex (few show thin rim enhancement) versus hepatic cysts.SPLEEN: No significant abnormality noted.PANCREAS: There is a 1.1 x 0.7 cm T2 hyperintense cystic lesion within the superior aspect of the pancreatic body, may represent sidebranch IPMN. Within the pancreatic tail there is a 3.1 x 2.5 cm enhancing lesion, isointense to the spleen on T1 and T2 sequences, and follows splenic contrast enhancement, compatible with a splenule.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Hiatal hernia.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Moderate hiatal hernia.
1.Pancreatic tail mass previously identified on CT compatible with a splenule.2.Pacreatic body cystic lesion, may represent sidebranch IPMN.3.Moderate sized hiatal hernia.