Reason: size of cyst in head of pancreas getting larger History: none ABDOMEN:LIVER, BILIARY TRACT: Numerous enhancing foci seen only on the arterial phase are likely perfusional. No suspicious enhancing lesions.SPLEEN: No significant abnormality noted.PANCREAS: There is mild increased prominence of the midportion of the main pancreatic duct measuring up to 4 mm in diameter, previously 3 mm. No obstructing lesion is evident.A 2 to 3 mm cystic lesion in the pancreatic head (801/26) is unchanged from the prior exam.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Left renal T2 hyperintensities, likely cysts.RETROPERITONEUM, LYMPH NODES: Low T1 signal at the celiac origin corresponds to heavy calcification seen on the prior CT.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Punctate Cystic lesion in the pancreatic head is stable since 2012 examination, likely a sidebranch IPMN.2.There is minimal increased prominence of the mid main pancreatic duct measuring up to 4 mm without any other associated abnormality. No obstructing lesion is evident.