85-year-old female patient with cystic lesion in the head of the pancreas. ABDOMEN:LIVER, BILIARY TRACT: Layering gallstones within the gallbladder. No evidence of cholecystitis. No intra or extrahepatic biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: There is a unilocular T2 hyperintense and T1 hypointense lesion in the pancreatic head that measures 2.0 x 2.9 x 2.7 cm (series 601 image 18 and series 501 image 16) and appears to communicate with the pancreatic duct. The cyst is thin-walled without any enhancing nodular component. No upstream pancreatic ductal dilatation.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Complex exophytic cyst in the superior pole of the right kidney with thin septations measures 3.1 x 2.4 cm (series 601 image 17).RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: S shaped scoliosis.OTHER: Bronchiectasis, scarring and trace bilateral, right greater than left, pleural effusions.
1.Unilocular cyst measuring 2.9 cm that appears to communicate with the pancreatic duct without enhancing soft tissue component is favored to represent a branch duct IPMN. 2.Bibasilar airspace opacities in the lungs appear similar compared to prior examination and may reflect aspiration pneumonia.