History of pancreatic cysts. ABDOMEN:LIVER, BILIARY TRACT: Demonstrated again are multiple cystic structures connecting with the peripheral biliary tree most notable in the segment II. These are nonspecific and may be postinflammatory or postinfectious peribiliary cysts. No focal liver lesion. No extrahepatic biliary ductal dilatation. Normally distended gallbladder.SPLEEN: Several splenules adjacent to the inferior anterior margin of the spleen.PANCREAS: Interval increase in size of the reference exophytic cystic lesion arising off of the anterior body measuring 2.4 x 2.1 cm (series 4/22), compared to 1.1 x 1.0 cm previously.Reference multilobulated cystic lesion arising off of the mid pancreas body measures approximately 2.1 x 1.2 cm (series 4/24), not significantly changed when using similar measurement technique.No suspicious mural nodularity or enhancement. Numerous additional subcentimeter cystic lesions in the pancreas are not significantly changed in size or number. The main pancreatic duct is mildly prominent up to 5 mm, unchanged.No solid pancreatic lesion is identified.ADRENAL GLANDS: Stable right adrenal nodule measuring 2.2 x 2.0 cm (series 4/19) compatible with a lipid rich adenoma.KIDNEYS, URETERS: Bilateral simple renal cysts. No hydronephrosis.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Incompletely characterized right lower lobe nodular focus may represent a vessel or nodule; attention to this on subsequent surveillance imaging is recommended. Cardiomegaly. Poststernotomy changes.
1.Interval increase in the size of one of the reference pancreatic cystic lesions without suspicious imaging characteristics.2.Stable right adrenal adenoma.3.Incompletely characterized right pulmonary lower lobe nodular focus may represent a vessel or nodule; attention to this on subsequent surveillance imaging is recommended.