70-year-old female with history of IPMN. Now with unintentional weight loss. ABDOMEN:LIVER, BILIARY TRACT: No hepatic. No intra or extrahepatic ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: Multiple small cystic foci of the pancreas that demonstrate connection with the pancreatic duct on the MRCP sequence show no significant interval change and are consistent with IPMNs. The largest of these cystic lesions measure 1.1 x 1 cm and is located in the pancreatic tail (axial series 401 image 16), unchanged. Pancreatic atrophy is again noted.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: Interval weight loss is notable. Osseous hemangioma of the L2 vertebral body, unchanged.OTHER: Susceptibility artifact in the right lower quadrant anterior abdominal wall of unknown etiology.
1.Stable cystic foci of the pancreas compatible with IPMNs. 2.Inconclusive etiology of interval weight loss. No anatomic abdominal abnormality identified.