59-year-old male with known IPMN ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: Mild diffuse dilation of the main pancreatic duct, greatest in the body measuring up to 6 mm. There is mild relative narrowing at the head of the pancreas where the duct is tortuous, unchanged. Appropriate response to secretin with decreased compliance of the main pancreatic duct.There is a 7 x 5 mm cystic lesion in the uncinate process demonstrating a connection to the main pancreatic duct, previously measuring 5 x 3 mm. No abnormal enhancement.Unchanged tiny cystic lesion in the body of the pancreas is unchanged (series 7, image 74). ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Minimally complex left inferior pole renal cyst, unchanged.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.
1.Slight interval increase in size of a cystic lesion in the uncinate process demonstrating connection to the main pancreatic duct most compatible with an IPMN. No suspicious features are evident.2.Unchanged relative narrowing at the head of the pancreas with diffuse dilation of the main pancreatic duct as described above.3.Unchanged minimally complex left inferior pole cyst.