Female 30 years old Reason: 30yo female with left sided ulcerative colitis with suspected IPMN seen on CT abdomen/pelvis. Also with small liver lesions History: pancreas lesion on CT scan ABDOMEN:LIVER, BILIARY TRACT: Liver is normal in morphology. No suspicious hepatic lesions. Lesion in segment 7 of the liver that is T2 hyperintense shows some peripheral nodular discontinuous enhancement is compatible with a small hemangioma. Hepatic and portal veins are patent.SPLEEN: No significant abnormality noted.PANCREAS: Pancreas is normal in morphology. Within the pancreatic tail there is a focal T2 hyperintense lesion measuring 1.2 cm without distortion of the adjacent pancreatic duct. The lesion does not show any appreciable central enhancement. The lesion does have a subtle central septation.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.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.Findings of a 1.2 cm cystic lesion in the pancreatic tail. Differential considerations given its size and location and lack of definite communication with the underlying pancreatic duct suggests a small pancreatic mucinous neoplasm. An IPMN is still possible. This may be further evaluated within an EUS for aspiration.