65-year-old woman with history of pancreatic body mass, follow-up. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in signal and morphology. The gallbladder is normal. There is no intra or extrahepatic biliary ductal dilatation.SPLEEN: Mildly T2 hyperintense, T1 hypointense lesions throughout the spleen are again seen without enhancement. These lesions are not significantly changed from the prior examination.PANCREAS: A multilobulated T2 hyperintense lesion in the pancreatic body (701/24) measures 21 x 20 mm, previously 21 x 20 mm. Additional, smaller T2 hyperintense lesions are noted in the pancreas with an uncinate process lesion (701/22) measuring 8 mm, previously 8 mm. There is no main pancreatic ductal dilatation. There is no abnormal enhancement.ADRENAL GLANDS: Subcentimeter nodular focus in the left adrenal gland (701/24) with loss of signal on out of phase imaging is most likely an adenoma. The right adrenal gland appears normal.KIDNEYS, URETERS: In the superior pole of the right kidney (1103/182) there is a 19 mm T2 hypointense, T1 hyperintense, mildly enhancing lesion, stable in size from the prior examination. No additional focal renal lesions are identified. There is 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.Stable pancreatic body and uncinate process cystic lesions favored to represent IPMNs.2.Nonspecific splenic lesions appear stable, possibly a sequela of prior infectious or inflammatory process.3.Mildly enhancing right renal lesion which could represent neoplasm, stable but can be followed on subsequent imaging.