54 year old female. Mass in the tail of the pancreas per OSH CT scan. Evaluate for abnormalities. ABDOMEN:LIVER, BILIARY TRACT: Punctate T2 hyperintense focus in the right hepatic lobe, likely a cyst. Hepatomegaly measuring 18 cm. Diffuse signal loss in the liver on opposed phase images consistent with fatty infiltration. No suspicious hepatic mass. No biliary ductal dilatation. SPLEEN: No significant abnormality noted.PANCREAS: 1.1 cm lesion in the posterior aspect of the pancreatic tail that follows signal and enhancement of the spleen on all sequences, likely an intrapancreatic splenule (series 7, image 25). Normal T1 signal intensity of the pancreas without evidence of atrophy. No evidence of pancreatic malignancy. No pancreatic ductal dilatation. ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Horseshoe kidney. No hydronephrosis.RETROPERITONEUM, LYMPH NODES: Small and mildly enlarged clustered retroperitoneal lymph nodes, including a right periaortic node that is 1.8 x 1 cm (series 7, image 14).BOWEL, MESENTERY: Small clustered mesenteric lymph nodes adjacent to the distal SMV (series 5, image 58).BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Incompletely imaged right periesphageal lymph node at the level of the left atrium that is 1.4 x 2.5 cm (series 7, image 40).
1.1.1 cm lesion in the posterior aspect of the distal pancreatic tail, likely an intrapancreatic splenule. No specific evidence of pancreatic malignancy.2.Clustered small and mildly enlarged retroperitoneal lymph nodes, etiology of which is unclear. Enlarged right periesophageal lymph node.3.Horseshoe kidney.