74-year-old female with cluster of IPMN in the head of the pancreas ABDOMEN:LIVER, BILIARY TRACT: Unchanged T2 hyperintense lesion in the left lobe of the liver, compatible with a cyst. Additional subcentimeter T2 hyperintense foci are also likely benign.SPLEEN: No significant abnormality noted.PANCREAS: Redemonstrated are cystic lesions in the head of the pancreas. The largest lesion measures 10 mm, previously 9 mm (series 9, image 49). The additional reference lesion measures 7 mm, unchanged (series 9, image 58). These are essentially unchanged from the prior exam. No abnormal enhancement is present. The main pancreatic duct is normal in caliber.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: The left kidney is absent.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: T2 hyperintense cystic focus in the left pelvis may be ovarian in origin, minimally increased in size when compared to prior exam dated 7/20/2010. Recommend pelvic ultrasound for further evaluation.
1.Relatively stable pancreatic head cystic lesions. The main pancreatic duct is normal in caliber.2.Absent left kidney with uterine abnormalities seen on prior CT abdomen pelvis dated 10/20/2015 raise question of Mayer-Rokitansky-Küster-Hauser syndrome. Correlation with history is recommended.