65-year-old woman with history of liver/pancreatic lesions and abdominal pain. ABDOMEN:LIVER, BILIARY TRACT: Two lesions are identified in segments 5 and 6 of the liver, both of which are T2 hyperintense, more so in the center, restrict on diffusion weighted images, and enhance peripherally. The remaining liver parenchyma is normal in signal and morphology. There is no intrahepatic biliary duct dilatation.The gallbladder is normal. There is mild common bile duct prominence measuring up to 4 mm.SPLEEN: The spleen is normal.PANCREAS: There is a multilobulated lesion with increased T2 signal in the pancreatic body measuring approximately 30 x 11 mm (series 501, image 17). Additionally, there is mild prominence of the pancreatic duct measuring up to 4 mm to the level of the ampulla.ADRENAL GLANDS: The adrenal glands are normal.KIDNEYS, URETERS: The kidneys are normal.RETROPERITONEUM, LYMPH NODES: No significant lymphadenopathy noted.BOWEL, MESENTERY: The visualized small bowel is unremarkable. There is colonic diverticulosis without diverticulitis.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Two solid hepatic lesions in segments 5 and 6 highly suspicious for malignancy, probably metastases although a primary site is not identified. Tissue diagnosis can be considered for further evaluation if clinically warranted.2.Sidebranch type IPMN of the pancreas.3.Mild prominence of the common bile duct and pancreatic duct to the level of the ampulla, likely with benign stricture.