73-year-old man with history of pancreatic cysts seen on outside imaging. ABDOMEN:LIVER, BILIARY TRACT: Liver appears normal without focal hepatic lesion. Patient is status post cholecystectomy and there is no intra or extrahepatic biliary ductal dilatation.SPLEEN: The spleen appears normal.PANCREAS: Numerous tiny cystic lesions are seen within the pancreatic head and tail. Of these, the largest is a round 10 x 8 mm T2 hyperintense lesion which appears to communicate with the pancreatic duct in the neck of the pancreas (5/59). This lesion is hypointense on T1 weighted images, however the postcontrast images are degraded by motion artifact and enhancement cannot be adequately evaluated.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: In the right kidney (8/16) there is a 13 mm, round T2 hypointense lesion arising exophytically from the lower pole. Field-of-view does not extend to cover this lesion on postcontrast images. Multiple bilateral T2 hyperintense renal cysts are noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: The small bowel and colon appear normal.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Indeterminate 10 mm cystic lesion in the neck of the pancreas communicating with the duct, likely a sidebranch IPMN. Enhancement of this lesion cannot be determined due to motion artifact.2.Indeterminate right renal inferior pole lesion which was not evaluated on the postcontrast portion of this study. Characterization of this lesion is recommended on subsequent enhanced imaging, otherwise one-year follow-up is recommended.