77-year-old female with mass in the uncinate process of the pancreas. ABDOMEN:LIVER, BILIARY TRACT: The left and right extrahepatic bile ducts join into a single common bile duct inferior to the insertion of the cystic duct, normal variant.SPLEEN: No significant abnormality noted.PANCREAS: There is a T2 hyperintense focus in the uncinate process measuring 1.4 x 1.1 cm (series 801, image 12). There is no communication with the pancreatic duct. This lesion does not demonstrate contrast enhancement.There are additional subcentimeter T2 hyperintense focus is in the pancreatic body and tail (series 801, image 19).ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Right subcentimeter renal cysts.RETROPERITONEUM, LYMPH NODES: Nonspecific mildly prominent retroperitoneal lymph nodes.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Soft tissue signal foci in the right axilla, likely represents lymph nodes (series 801, image 33).
1.Uncinate process cystic lesion. Differential considerations include a sidebranch IPMN; a serous cystoadenoma is considered less likely.2.Additional subcentimeter pancreatic body and tail cystic lesions likely represent sidebranch IPMNs.3.Rounded and ovoid foci of soft tissue signal in the right axilla, likely lymph nodes. Correlation with recent mammography recommended. 