Reason: 65 yo M with cystic lesion and calcifications in HOP r/o growth, r/o tumor History: 65 yo M with cystic lesion and calcifications in HOP r/o growth, r/o tumor. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic morphology of the liver. Diffuse fat infiltration. Right lobe subcentimeter hepatic cysts, unchanged. Small 1 cm arterially enhancing focus without delayed washout (series 12 image 73). Hepatic vasculature patent.Cholelithiasis. No intrahepatic or extra hepatic biliary ductal dilatation.SPLEEN: Splenomegaly, not significantly changed.PANCREAS: 1.1 x 1 centimeter cystic lesion in the pancreatic head has not significantly changed in size and appears to communicate with the pancreatic duct suggesting an IPMN. Additional punctate IPMNs. No pancreatic ductal dilatation. Nonenhancing foci within the pancreatic head correlate with calcifications seen on CT.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral renal cysts, unchanged. Previous identified indeterminate left renal cystic lesion demonstrates signal characteristics of a simple cyst and does not enhance (series 5 image 29).RETROPERITONEUM, LYMPH NODES: Expected regional adenopathy and retroperitoneal adenopathy.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No ascites.
1.Cirrhotic morphology. New 1 cm arterial enhancing focus without washout, indeterminate. 2.Stable sidebranch pancreatic head IPMN with additional punctate IPMNs.3.Previously identified indeterminate left renal cyst demonstrates signal and enhancement characteristics of a simple cyst. 