Female 62 years old Reason: pt with AIH/cirrhosis undergoing routine HCC screening at OSH was noted to have fluid collection/cystic mass in the region of the head of the pancreas, recommend additional imaging. Please eval for further clarification/diagnosis History: AIH, Cirrhosis ABDOMEN:LIVER, BILIARY TRACT: There is mild caudate hypertrophy. No focal lesion with arterial enhancement or washout. Hepatic and portal veins are patent. Status post cholecystectomy. Common bile duct measures 6 mm. No intrahepatic biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: Pancreas is normal in morphology. No cystic or solid lesion is identified. Pancreatic duct is normal in caliber.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Multiple enlarged portacaval peripancreatic lymph nodes likely sequelae of autoimmune hepatitis.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.No suspicious hepatic lesion.2.No evident cystic lesion in the pancreas.