36-year-old female with history of pancreatic cysts ABDOMEN:LIVER, BILIARY TRACT: Hepatomegaly. The liver and spleen are diffusely decreased in signal on T2-weighted images, suggesting hemosiderosis. On T1-weighted images, the liver loses signal on out of phase images, suggesting steatosis. Gallbladder wall thickening appears similar to the prior exam. No cholelithiasis. No intra or extrahepatic biliary ductal dilatation.SPLEEN: Splenomegaly.PANCREAS: Cystic lesion in the pancreatic tail is stable measuring 2.2 x 1.2 cm (1 701/22), previously 2.2 x 1.2 cm. Adjacent pancreatic tail lesion measures 0.7 x 0.6 cm (1 701/24), previously 0.9 x 0.7 cm. Pancreatic head lesion measures 1.3 x 0.9 cm (1701/13), previously 1.3 x 1.1 cm. These appear to communicate with the main pancreatic duct which is nondilated. There are also smaller cystic lesions (1 901/61) which are unchanged. Hepatomegaly measuring 22.2 cm in craniocaudal dimension.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral renal cysts are unchanged.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Large amount of abdominal ascites is unchanged. Cardiomegaly.
1.Multiple cystic pancreatic lesions are stable and likely represent side branch IPMN's.2.Hemosiderosis, hepatomegaly and ascites appear prior exam.3.Gallbladder wall thickening is nonspecific and appears similar to the prior exam.