Reason: hx of IPMN. Needs f/u MRCP. Last ercp 2013 History: Doing well other than recent diarrhea. ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: The main pancreatic duct is nondilated. There are multiple cystic lesions within the pancreatic head, neck and body which communicates with the main pancreatic duct, likely representing side branch IPMNs. A lesion in the pancreatic head measures 5 mm (8/27) and is new from the prior exam. A lesion in the pancreatic body measures 5 mm (8/66) and is unchanged. Additional smaller lesions are present within the pancreatic body which are also unchanged. Anteroinferior cystic lesions without definite ductal communication are nonspecific (8/47). No abnormal enhancement.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Small hiatal hernia.BONES, SOFT TISSUES: Focus along the crus of the right diaphragm with intrinsic T1 hyperintensity may represent an old focus of hemorrhage from prior surgery.OTHER: Cystic dilatation of multiple nerve roots in the spine.
Multiple sidebranch IPMNs measuring up to 5 mm without suspicious features. A pancreatic head lesion is new from the prior exam. Pancreatic body lesions are not significantly changed.