71-year-old female. Status post distal pancreatectomy for T1N0 IPMN in 2013. Patient has small cyst in body of pancreas. Evaluate for recurrence of IPMN or growth in body cyst. ABDOMEN:LIVER, BILIARY TRACT: No suspicious hepatic mass. Subcentimeter hepatic cyst, unchanged. No biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: Post-surgical findings of distal pancreatectomy without local recurrence. Normal caliber of the main pancreatic duct. At the most anterior aspect of the residual pancreas, the previously seen cystic focus is less prominent, smaller in AP dimension though unchanged in longitudinal dimension at 6 mm (series 5, image 23), suggestive of an IPMN. Additional two tiny T2 hyperintense foci in the pancreatic head and neck are unchanged (series 10, images 22 and 20), likely additional small side branch IPMNs.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral renal 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.
1.Post-surgical changes of distal pancreatectomy without evidence of local recurrence.2.Decreased size of the cystic lesion at the anterior aspect of the residual pancreas. Other tiny cystic foci in the pancreas are unchanged, likely side-branch IPMNs.