Reason: 33 yo female with dx of von hippel lindau (VHL); evaluate for growth of existing pancreatic cysts and new or solid lesions History: 33 yo female with dx of von hippel lindau (VHL); evaluate for growth of existing pancreatic cysts and new or solid lesions. ABDOMEN:LIVER, BILIARY TRACT: Borderline enlarged liver measuring 19 cm in craniocaudal dimension. No focal lesion.SPLEEN: Ssplenomegaly measuring 13.3 cm in craniocaudal dimension. No focal lesion.PANCREAS: Innumerable cysts of varying sizes replaces the pancreas. For reference cyst in the distal body measures 1.4 x 1.3 cm (series 4 image 28), unchanged compared to prior 2014 outside CT (series 4 image 30). No suspicious lesion. ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Multiple bilateral renal cysts, some of which demonstrate intrinsic T1 hyperintense signal compatible with hemorrhagic or proteinaceous cysts. For reference, left inferior pole cyst measures 6.2 x 5.3 x 6.6 cm (series 4 image 24, series 3 image 13), unchanged from prior outside CT (series 4 image 34, series 601 image 41). No suspicious lesion. RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: The junctional zone measures 1.3 cm, which can be seen in adenomyomatosis. BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Stable innumerable pancreatic cysts.2.Stable multiple renal cysts.3.No definite suspicious lesion. 