60-year-old female with history of pancreatic cyst. ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: Large thick-walled cystic lesion centered within the pancreatic body measuring 6.7 x 6.6 cm with a moderate amount of debris layering within the dependent aspect of the lesion. There is no appreciable enhancement after contrast administration. There is no clear communication with the main pancreatic duct however significant mass effect is present with a dilated and tortuous distal pancreatic duct measuring up to 5 mm. There is significant mass effect on the adjacent gastric antrum.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Benign appearing left superior pole renal cyst.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.
Large cystic lesion arising from the pancreatic body which is favored to represent a pancreatic pseudocyst, however a mucinous neoplasm cannot be excluded. There is distal pancreatic ductal dilation as well as significant mass effect on the gastric antrum.