68-year-old male with chronic pancreatitis and pancreatic cyst, abdominal pain ABDOMEN:LIVER, BILIARY TRACT: Subcentimeter T2 hyperintensities likely reflect cysts. The common bile duct is normal in caliber.SPLEEN: No significant abnormality noted.PANCREAS: Intrinsic T1 signal is diminished. Numerous T2 hyperintense cystic foci scattered throughout an atrophic pancreas some of which demonstrate communication with the main pancreatic duct. No pancreatic divisum is present. The main pancreatic duct is normal in caliber. Please note that calcifications are not reliably identified on MR. ADRENAL GLANDS: Mild left adrenal gland thickening.KIDNEYS, URETERS: Subcentimeter cysts in bilateral kidneys. No hydronephrosis.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.Atrophic pancreas with numerous hyperintense cystic foci scattered throughout the pancreas; provided the patient's history, findings likely represent sidebranch ectasia. Underlying IPMNs cannot be entirely excluded. 