71-year-old female with a history of pancreatic mass. Rule out stone or obstruction. ABDOMEN:LIVER, BILIARY TRACT: There is no evidence of intra-or extrahepatic biliary ductal dilation. No gallstones are identified. No common duct stones are seen.SPLEEN: No significant abnormality noted.PANCREAS: There is a 7 x 7 millimeter focus of fluid signal intensity, which communicates with the main pancreatic duct within the body of the pancreas, consistent with a branch type IPMN, corresponding to the findings on recent CT examination (36; series 701). There is no dilation of the main pancreatic duct. No solid or nodular components are identified. There are multiple additional subcentimeter foci of fluid signal intensity in the tail of the pancreas, which also likely represent branch type IPMNs.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Subcentimeter foci of fluid signal intensity are identified within the kidneys bilaterally, which are too small to characterize, but likely represent simple cysts.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.
Multiple foci of fluid signal intensity in the body and tail of the pancreas, which appear most consistent with subcentimeter branch type IPMNs.