Bladder cancer now with pancreatic lesion on recent CT. Further evaluation. ABDOMEN:LIVER, BILIARY TRACT: No suspicious hepatic lesion. No intra or extra hepatic biliary ductal dilatation. The gallbladder is unremarkable.SPLEEN: No significant abnormality noted.PANCREAS: Cystic lesion within the proximal pancreatic body measures 0.8 x 0.6 cm, which is contiguous with the main pancreatic duct (series 9, image 19). A mid body cystic lesion contiguous with the main pancreatic duct measures 1.4 x 1.1 cm. A cystic lesion within the pancreatic head is also contiguous with the pancreatic duct and possibly contains internal septations (series 9, image 16). The pancreatic duct is normal in caliber. No inflammatory changes of the pancreas. ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Left renal cysts, unchanged. Right kidney is unremarkable. No hydronephrosisRETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Anterior abdominal wall scarring. The bowel loops are normal in caliber. No evidence of bowel obstruction or ileus. BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Cystic lesions within the pancreatic body contiguous with the pancreatic duct, probably small side branch IPMNs, unchanged since recent CT but new since 2011. Cystic lesion within the pancreatic head is also probably a sidebranch IPMN but contains septations. Follow-up is recommended.