Reason: cirrhosis with lesions seen in the liver and pancreas on outside imaging History: cirrhosis ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver morphology.SPLEEN: There is a 2.0 x 1.6 cm (4/28), cystic lesion in the region of the splenic hilum, about the pancreatic tail.PANCREAS: A 5 mm cyst in the pancreatic head without communication to the pancreatic duct is nonspecific but likely represents a sidebranch IPMN. There is a 2 mm cyst in the pancreatic body/tail which communicates with the main pancreatic duct which is nondilated, suggestive of a side branch IPMN. There is no definite communication between the pancreatic duct the splenic hilar cyst.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Left-sided T2 hyperintensity, likely a 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.
1.Cirrhotic liver morphology without suspicious hepatic lesions.2.Small cysts within the pancreatic head and body measuring up to 5 mm and likely represent sidebranch IPMNs.3.Nonspecific cyst in the region of the splenic hilum and pancreatic tail may represent a splenic cyst or exophytic pancreatic cystic lesion.