History of pancreatic ductal dilatation on a US dated 3/5/2015. Presents for follow-up examination. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in morphology, signal intensity and size. There is no intrahepatic biliary ductal dilatation. The common bile duct measures up to 7 mm without an obstructing stone or discrete lesion. It tapers smoothly at the major ampulla. The gallbladder is normally distended without cholelithiasis. Several subcentimeter hepatic cysts are noted. The vessels are patent.SPLEEN: The spleen is normal in size and signal intensity without a discrete lesion.PANCREAS: The pancreas is normal in morphology signal intensity and enhancement. The main pancreatic duct is minimally prominent up to 3 to 4 mm, not significantly changed from the prior study. There is a short segment stricture at the pancreatic body/tail junction without a discrete mass lesion. The main pancreatic duct appears to drain at the major ampulla.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No hydronephrosis. Bilateral renal cysts. Intrinsically T1 weighted hyperintense lesion in the right superior pole demonstrates no enhancement on subtraction images and is compatible with a proteinaceous/hemorrhagic cyst. No suspicious renal lesion.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.
Borderline prominent main pancreatic duct with a focal stricture at the level of the pancreatic body/tail junction without a discrete mass lesion. Follow-up MRI in 6 months to 1-year is recommended.