74-year-old female with known IPMN in the tail and body of the pancreas. ABDOMEN:LIVER, BILIARY TRACT: T2 hyperintense cyst in the left lobe of the liver.SPLEEN: No significant abnormality noted.PANCREAS: Decreased intrinsic T1 signal of the pancreas with parenchymal atrophy of the body and tail. The main pancreatic duct is dilated measuring up to 8 mm at the body of the pancreas, not significantly changed since the prior exam. Redemonstrated are dilated and cystic appearing side branches throughout the body and tail of the pancreas. There is no abnormal enhancement.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Minimally complex cyst in the inferior pole of left kidney. No hydronephrosis or perinephric inflammation.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.
1.No significant change in dilated main pancreatic duct with dilated and cystic appearing side branches throughout the body and tail of the pancreas. Findings are suggestive of combined type IPMN or chronic pancreatitis. Continued surveillance is recommended.