88-year-old female with partial cystic mass in the pancreatic neck. Assess for worsening en masse ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Several hypodense lesions throughout the liver largest measuring 1.3 x 0.9-cm in the left lobe on image number 24, series number 3 are unchanged. Homogeneously hyperdense lesion measuring 1 cm in diameter image number 51, series number 3 likely representing a benign lesion is also unchanged.SPLEEN: No significant abnormality notedPANCREAS: Predominantly cystic mass with heterogeneous enhancement which represent thin internal septations in the pancreatic neck is unchanged measuring 2.8 x 2.3 cm image number 42, series number 3. This mass is not associated with pancreatic ductal dilatation. Its not clear whether this lesion communicates with the pancreatic duct. MRI may be helpful for further evaluation.ADRENAL GLANDS: Mild bilateral adrenal thickening and a small nodule in the left adrenal gland are unchanged.KIDNEYS, URETERS: Right upper pole enhancing mass measures 3.2 x 2.8-cm on image number 32, series number 3, unchanged.Right lower pole enhancing mass is also unchanged and measures 16 x 16 mm on image number 54, series number 3. Similar lesion in the mid pole of the left kidney is also unchanged and measures 10 mm in diameter in image number 32.Numerous additional hypodense lesions in both kidneys are most likely cysts but some are too small to adequately characterize.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Several foci of loculated fluid attenuation lesions are seen in the abdomen with the largest collection the right lower quadrant measuring approximately 4 x 2.5 cm image number 74, series number 3 are unchanged. No wall thickening or dilatation.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS:UTERUS, ADNEXA: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted
No significant change from previous study. Liver lesions are most likely benign.Heterogeneous cystic mass in the pancreatic neck may represent a serous cystadenoma or a branch type intrapancreatic mucinous neoplasm. MRI may be helpful for differentiation by demonstrating the relation between the cystic mass and the pancreatic duct.Bilateral enhancing renal masses consistent with renal cell carcinoma.Fluid attenuation lesions in the time. There clinical significance is unknown but metastatic disease cannot be excluded.