45-year-old female patient with known pancreatic mass. ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: Again seen is a 1.9 x 1.2 cm lesion in the pancreatic body (series 3 image 69), unchanged. The cystic lesion contains thin enhancing central septations without nodular components. There appears to be a connection with the pancreatic duct. Small subcentimeter cystic lesions are again noted and unchanged. No pancreatic ductal dilatation.ADRENAL GLANDS: Nodularity of the left adrenal gland appears similar to prior.KIDNEYS, URETERS: No significant abnormality noted.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.Stable 1.9 cm cystic lesion within the pancreatic neck/body with thin enhancing septations, suggestive of an IPMN.2.Additional subcentimeter cystic lesions throughout the pancreas are also stable and suggestive of small sidebranch IPMNs.