Dilated pancreatic duct on endoscopic ultrasound. Lack of intravenous contrast limits evaluation for solid organ, bowel and vascular pathology.ABDOMEN:LIVER, BILIARY TRACT: Hypotense liver parenchyma suggestive of iron deposition. The liver is normal in morphology. No intra or extrahepatic biliary ductal dilatation. Probable right hepatic lobe cyst, unchanged. No focal suspicious lesion. Normally distended gallbladder.SPLEEN: Probable iron deposition. The spleen measures 13 cm in length with a lobulated multicystic/multiseptated 2.7 cm lesion, likely benign hemangioma or lymphangioma.PANCREAS: The main pancreatic duct at the level of the body is dilated up to 7 mm without mural nodularity evident with mild narrowing and irregularity at the head, without a discrete lesion. Lack of contrast limits evaluation for enhancing components. The pancreatic parenchyma is not significantly atrophic. No focal pancreatic parenchymal lesion is apparent on this limited nonenhanced study.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: The kidneys are mildly atrophic with the parenchyma replaced with innumerable T2 weighted hyperintense foci some of which are not simple appearing cysts, progressed from prior. No hydroureteronephrosis.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.Main pancreatic ductal dilatation up to 7 mm without mural nodularity with irregular narrowing at the pancreatic head without a discrete lesion. Otherwise limited nonenhanced study. Correlate with the endoscopic ultrasound findings.2.Findings of acquired cystic kidney disease of dialysis with multiple cysts and several indeterminate lesions which are not completely characterized by noncontrast MRI.3.Hemosiderosis.