History of prostate cancer. Pancreatic cystic lesion and pancreatic ductal dilatation noted on prior CT scans. Evaluate. ABDOMEN:LIVER, BILIARY TRACT: Liver is normal in signal and morphology. The hepatic vasculature is patent. There is a subcentimeter focus of increased T2 signal that does not enhance in the inferior right lobe of the liver compatible with a benign cyst.No intrahepatic or extrahepatic biliary ductal dilatation. The gallbladder is unremarkable. No cholelithiasis.SPLEEN: Spleen is normal in size. There is a 1.4 cm focus of mildly increased T2 signal that has progressive peripheral enhancement on the postcontrast images compatible with a small hemangioma.PANCREAS: There are multiple cystic foci in the body and tail of the pancreas which have high T2 signal, no internal complexity, and no postcontrast enhancement. Appearance is compatible with sidebranch IPMNs . The largest lesion is in the tail and measures 15 x 9 mm (series 3 image 20). The second largest is in the body and measures 12 x 12 mm. There is mild prominence of the distal pancreatic duct within the pancreatic tail measuring up to 4 mm in diameter which is grossly stable compared to 6/30/2015 and may reflect a small stricture or extrinsic compression. ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Multiple bilateral peripelvic and parenchymal simple cysts. No hydronephrosis.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.Multiple sidebranch IPMN measuring up to 15 x 9 mm.2.Mild dilation of the distal pancreatic duct within the pancreatic tail measuring up to 4 mm in diameter which is grossly stable compared to 6/30/2015 and may reflect a small stricture or be secondary to extrinsic compression. No associated enhancing mass lesion is evident. 