69-year-old male with abdominal pain and loss, evaluate. History of thyroid cancer. ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: The main pancreatic duct is nondilated. There is a cystic lesion in the uncinate measuring 3.1 x 2.0 cm (8/32) which likely communicates with an accessory duct. There are multiple additional subcentimeter cysts in the pancreatic head which appear to communicate with the main pancreatic duct. There is a cystic lesion of the pancreatic neck measuring 2.2 x 1.9 cm (8/25) with apparent ductal communication. A large cystic lesion involving the pancreatic tail measures 2.5 x 3.1 cm (8/21) sheath to hypointense walls, possibly reflecting prior hemorrhage. No enhancement is present within any of these lesions.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: No significant abnormality noted.OTHER: No significant abnormality noted.
Multiple cystic lesions throughout the pancreas measuring up to 3.1 cm likely represent side branch IPMN's. No enhancement or main pancreatic ductal dilatation.