70-year-old female patient with right upper quadrant abdominal pain, fatty liver. Noted hypoechoic change in the proximal body of the pancreas on outside hospital ultrasound. ABDOMEN:LIVER, BILIARY TRACT: There is a 2.0 x 1.6 cm lesion within segment V of the liver which demonstrates T2 hyperintensity and discontinuous, peripheral, nodular enhancement with filling in on more delayed images (image 46, series 12). An additional 1.3 x 1.4 cm lesion within segment VIII demonstrates similar imaging characteristics (image 72, series 12). These are compatible with hemangiomata. There is no intra or extrahepatic biliary ductal dilatation. The hepatic and portal veins are patent. The gallbladder is absent.SPLEEN: No significant abnormality noted.PANCREAS: There is a 1.1 x 0.6 cm ovoid, well demarcated region within the pancreatic body which demonstrates signal characteristics of fat without enhancement; this likely represents an intrapancreatic lipoma. Multiple scattered foci of T2 hyperintensity measuring no more than a few millimeters which do not enhance likely represent sidebranch IPMNs. No suspicious pancreatic lesion is identified. The main pancreatic ductal diameter is within normal limits.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Scattered subcentimeter T2 hyperintense foci within both kidneys likely represent cysts.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.Intrapancreatic lipoma within the body of the pancreas and several subcentimeter cystic foci compatible with sidebranch IPMNs. No suspicious pancreatic lesion is identified. 2.Two hepatic lesions with imaging characteristics compatible with hemangiomas. 