56 years, Male, Reason: etiology for elevated liver enzymes, intrahepatic ductal dilation, abnormal abdominal US History: as above. ABDOMEN:LUNG BASES: Trace effusions.LIVER, BILIARY TRACT: Subcentimeter left hepatic simple cysts.Common bile duct appears normal measuring up to 7 mm in diameter. No cholelithiasis or choledocholithiasis. No obstructing mass.SPLEEN: 1.3-cm nonenhancing splenic lesion with T2 hyperintensity, likely a cyst.PANCREAS: Pancreatic duct is normal in caliber. There is diffusion restriction noted throughout the pancreas, with mildly decreased T1 signal.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Subcentimeter left renal cysts. An exophytic left mid pole lesion with high T1 signal measures 2.4 x 1.9 cm, previously 2.1 x 1.8 cm on the MRI from 7/29/2014.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Small amount of free fluid in the pelvis.
1.Normal appearing common bile duct and pancreatic duct.2.Left renal lesion with increased T1 signal is slightly increased in size, likely a hemorrhagic/proteinaceous cyst.3.Diffusion restriction throughout the pancreas with low T1 signal area. This is nonspecific and may be related to age or inflammatory changes, either acute or chronic pancreatitis. Correlation with clinical presentation and serum lipase levels is recommended.