Male 65 years old Reason: to be done 3/ 2015. Side Branch IPMN r/o growth. Need MRI gad / MRCP secretin History: to be done 3/2015. Side Branch IPMN r/o growth. Need MRI gad / MRCP secretin. ABDOMEN:LIVER, BILIARY TRACT: Signal dropout on in phase images suggestive of iron deposition. SPLEEN: Signal dropout on in phase images suggestive of iron deposition. PANCREAS: Again seen is a nonenhancing cystic lesion in the head of the pancreas which communicates with the main pancreatic duct. This measures 1.1 x 0.9 cm (series 5, image 40), not significantly changed compared to prior study allowing for differences in imaging technique and compatible with a side branch IPMN. A smaller 4 mm cystic lesion superior to this is also unchanged (series 5, image 33). As on prior study, this does not demonstrate definitive communication with the duct. An additional 3 mm nonenhancing cystic lesion (series 5, image 47) arises from the main duct downstream from the dominant cystic lesion and also likely represents a smaller sidebranch IPMN and appears unchanged.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Subcentimeter T2 hyperintensities within the kidneys are suggestive of renal cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.
1.Again seen are two cystic lesions within the pancreas likely representing side branch IPMNs as described above. These are unchanged compared to prior study.2.Additional cystic lesion which does not demonstrate definite communication with the pancreatic duct is also unchanged, most likely an additional IPMN.3.Findings suggestive of iron deposition within the liver and spleen.