84-year-old woman with history of elevated LFTs, bilirubin, and nausea. ABDOMEN:LIVER, BILIARY TRACT: There is a septated 23 mm cyst in segment 3 (401/26), otherwise the liver is normal in signal and morphology.The gallbladder is partially decompressed with multiple folds, but otherwise normal in appearance without stones.There is diffuse, mild intrahepatic biliary ductal prominence with normal caliber, smooth contoured extrahepatic bile ducts. There is no intraluminal filling defect or extrinsic compression at the ampulla (601/61).The portal vein is patent.SPLEEN: No significant abnormality noted.PANCREAS: There is pancreas divisum (601/57) with the main pancreatic duct dilated up to 6 mm in the tail (601/20). Multiple cystic lesions in the uncinate process (601/44) and tail (601/27) are seen, some of which communicate with the pancreatic duct.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Prominent collecting systems without hydronephrosis or hydroureter.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Scoliosis and Tarlov cysts noted.OTHER: No significant abnormality noted.
1.Pancreas divisum without pancreatitis.2.Multiple cystic pancreatic lesions, likely sidebranch IPMNs.3.Prominent intrahepatic biliary ducts but normal caliber common bile duct without stone or extrinsic mass.