67-year-old female with the history of multiple pancreatic cysts, please evaluate for changes and/or abnormality ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted. No intrahepatic biliary ductal dilatation. Gallbladder appears unremarkable.  Common bile duct demonstrates a normal morphology, anatomy and measures up to 4 mm SPLEEN: No significant abnormality noted.PANCREAS: Numerous sidebranch type IPMNs are seen throughout the pancreas. Index lesion which likely represents two adjacent IPMNs in the uncinate process of the pancreasmeasures 1.8 x 1.2 cm (image 34, series 3), previously 1.8 x 1 cm. There is been interval increase in size of one of the side branch IPMN in the body of the pancreas that measures 1.3 x 1.2 cm (image 24, series 3, series 5 image 33), previously measured 7 x 7 mm. The remaining other smaller lesions are unchanged. The main pancreatic duct is normal in caliber. There is no postcontrast enhancement of these lesions.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Status post left partial nephrectomy changes. No focal lesions noted. No hydronephrosis. RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Unchanged, fluid signal intensity lesion noted adjacent to the distal esophagus likelyrepresents a foregut duplication cyst. Moderate sized hiatal hernia, unchanged. BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1. Numerous sidebranch type IPMNs with no interval change in size of the index lesion in the uncinate process however interval increase in size of one of the IPMN in the body of the pancreas from 7 x 7 mm to 1.3 x 1.2 cm. No abnormal enhancement noted in any of these lesions.2. Left partial nephrectomy changes.