Female; 68 years old. Reason: Evaluate IPMN, pancreatic tail lesion. On recent EUS, there was a 10 x 10 mm cystic lesion in the pancreatic neck suspected to be an IPMN as per EPIC notes. ABDOMEN:LIVER, BILIARY TRACT: No suspicious hepatic lesions or biliary ductal dilatation. SPLEEN: No significant abnormality noted.PANCREAS: There is a T2 hyperintense, non-enhancing lesion in the region of the pancreatic head that appears to communicate with the main pancreatic duct. This lesion measures 9 x 8 mm, previously 10 mm and not significantly changed, compatible with a sidebranch IPMN (series 4, image 46). Additional subcentimeter T2 hyperintense lesion located more distally in the pancreas also likely represents a sidebranch IPMN which was seen on prior MRI (series 4, image 31). No pancreatic ductal dilatation. Area of decreased T1 signal in the pancreatic tail now measures 1.4 x 0.8 cm, previously 1.7 x 1.0 cm and compatible with sequela of prior pancreatitis (series 11, image 50). ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral subcentimeter renal cysts. No hydronephrosis. RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Levoscoliosis of the thoracolumbar spine, unchanged.OTHER: No significant abnormality noted.
1.No significant interval change in sidebranch pancreatic head IPMN as described above. Additional subcentimeter IPMN again noted more distally. 2.Interval decrease in size of T1 hypointense pancreatic tail signal, likely representing sequela of prior pancreatitis. 