History of enterography and IPMN. Evaluate for interval change. ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: The cystic lesion in the uncinate process measures approximately 13 x 7 mm (series 5/21), compared to 12 x 6 mm previously. It appears to communicate with the pancreatic duct and remains compatible with a sidebranch IPMN.The previously measured cystic lesion in the tail measures approximately 8 x 7 mm (series 5/12), compared to 10 x 7 mm previously.No suspicious postcontrast mural nodularity or enhancement of the cystic lesions is appreciated.There are additional punctate cystic lesions in the pancreas which appear to communicate with the pancreatic duct and is not significant changed. The main pancreatic duct is normal in caliber.Normal dilatory response and exocrine excretion following secretin administration.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Benign left renal cyst is unchanged.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.
No significant change in the size and number of the multiple cystic lesions in the pancreas which appears to communicate with the main pancreatic duct and remain compatible with multiple side-branch type IPMNs.