61-year-old woman with history of abdominal pain and cystic pancreatic neoplasm seen on CT. ABDOMEN:LIVER, BILIARY TRACT: There are scattered subcentimeter hepatic cysts, otherwise the liver is normal in signal and morphology. There is no significant intra or extrahepatic biliary ductal dilatation. The gallbladder appears normal.SPLEEN: The spleen is normal.PANCREAS: In the tail of the pancreas (5/23) there is a 15 x 14 mm cystic lesion without enhancement or internal septation. This lesion appears to communicate with main pancreatic duct (9/22), but the main pancreatic duct is normal in caliber.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: The native kidneys are atrophic. A right pelvic kidney is seen on the survey images.RETROPERITONEUM, LYMPH NODES: No significant retroperitoneal lymphadenopathy.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Simple cystic lesion in the pancreatic tail, likely a main duct IPMN. Given its size, one year follow-up with MR is recommended to confirm stability (JACR 7.10 Oct 2010).