67-year-old female with 1.6 cm pancreatic mass. Outside CT report filed to epic media tab. Last MRCP done U of C. ABDOMEN:LIVER, BILIARY TRACT: No parenchymal lesions. No intra or extrahepatic biliary ductal dilatation. Mild tortuosity of the common bile duct is again noted. Status post cholecystectomy.SPLEEN: No significant abnormality noted.PANCREAS: Stable cystic lesion of the pancreatic tail measuring 7 mm (coronal series 9 image 47) with a bilobed appearance (coronal series 9 images 47, coronal series 401 image 17). Stable cystic lesion of the mid pancreatic tail measuring 3 mm (coronal series 9 image 73, axial series 6 image 27). No abnormal parenchymal enhancement. No main pancreatic ductal dilatation. No solid parenchymal mass is identified.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No hydronephrosis. Stable appearing left lower pole parapelvic cyst measuring 3.6 x 3 cm (series 6 image 17).RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Stable cystic focus arising from the upper sacrum (coronal series 4 image 10).OTHER: No significant abnormality noted.
1.Stable subcentimeter cystic lesions of the pancreatic tail, and sidebranch IPMNs are favored. No solid parenchymal mass is identified.2.Stable cystic lesion of the proximal sacrum, favor Tarlov cyst.