65-year-old female with pancreatic cysts are seen on endoscopic ultrasound (10/2012) and additional prior ABDOMEN:LIVER, BILIARY TRACT: Scattered T2 subcentimeter hyperintensities. No suspicious liver lesions. No intrahepatic or extrahepatic biliary duct dilatation.SPLEEN: No significant abnormality noted.PANCREAS: There is a 4 mm cystic lesion in the uncinate process. There is no visualized connection with the main pancreatic duct.There is a 12 x 12 mm cystic lesion in the head of the pancreas. There is visualized connection with the main pancreatic duct. No abnormal enhancement or mural nodularity.The largest cystic lesion measures 14 x 12 mm in the neck of the pancreas. There is visualized connection with the main pancreatic duct. No abnormal enhancement or mural nodularity.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: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Cystic lesions in the head and neck of the pancreas with a visualized connection with the main pancreatic duct compatible with IPMNs. No suspicious features.2.A 4 mm cystic lesion in the uncinate process likely also represents a sidebranch IPMN although connection with main pancreatic duct is not visualized.