Pancreatic cystic lesion. Decreased appetite. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in contour and morphology. No focal hepatic lesion is identified. The gallbladder is unremarkable. No intrahepatic ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: The main pancreatic duct is dilated, measuring up to 5 mm. There is a large cystic lesion within the pancreatic head, contiguous within the main pancreatic duct measuring 2.9 x 2.3 cm, (series 1001, image 155), which contains thick septal enhancement and abuts the superior mesenteric vein, without evidence of invasion. This cystic lesion limits evaluation of the main pancreatic duct opening, possible pancreatic divisum.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.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.
Large cystic lesion within the pancreatic head with thick septal enhancement contiguous with a dilated main pancreatic duct, suspicious for combined type IPMN