Reason: Pancreatic head tumor mentioned on OSH CT History: Pancreatic head tumor , pelvic tumor, gastric wall thickening mentioned on OSH CT ABDOMEN: Please note that the left hemiabdomen is partially obscured due to susceptibility artifact from a metal BB within the left abdominal wall.LIVER, BILIARY TRACT: Mild perihepatic ascites. No focal hepatic lesions are evident. Cholelithiasis without evidence of cholecystitis.SPLEEN: No significant abnormality noted.PANCREAS: There is a cyst within the pancreatic head measuring 1.3 x 0.9 cm which is adjacent to the main pancreatic duct without definite communication. There is a possible focus of nodular enhancement within the cystic lesion. The main pancreatic duct is not dilated.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Mild left-sided hydronephrosis.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Partially visualized large fibroid uterus
1.Cystic lesion within the pancreatic head measuring up to 1.3 cm with a focus of possible nodular enhancement. Differential includes a small sidebranch IPMN, complex cyst or other cystic neoplasm.2.Mild left-sided hydronephrosis.3.Cholelithiasis without evidence of cholecystitis.