46-year-old female with history of cystic lesion in the pancreatic tail. Please evaluate for changes or abnormalities. ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: The bilobed/septated cystic lesion of the pancreatic tail measuring 1.8 x 1.4 cm (axial series 4 image 22) is stable to slightly increased in size (prior 1.8 x 1.2 cm). The larger cystic component measures 1.4 x 1.4 cm (coronal series 9 image 37). No main pancreatic ductal dilatation. The cystic lesion is adjacent to the pancreatic duct, but not clear connection to the nondilated pancreatic duct is not identified. Thin enhancing septations are again noted. No mural nodularity is identified.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: Mild degenerative changes at L4/L5 (series 7 image 17).OTHER: Fibroid at the uterine fundus (series 7 image 16).
Stable to slightly increased size of the known bilobed/septated cystic lesion of the pancreatic tail measuring 1.8 x 1.4 cm (prior 1.8 x 1.2 cm). This mildly complex cystic lesion again shows a thin enhancing septations and no mural nodularity. Differential includes IPMN and mucinous cystic neoplasm.