65-year-old on with history of cyst in the neck of the pancreas. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in signal and morphology. No focal hepatic lesions are identified.The gallbladder is normal. There is no intra or extrahepatic biliary ductal dilatation.SPLEEN: The spleen is normal.PANCREAS: Within the neck of the pancreas (6/26) there is a 21 x 17 mm T2 hyperintense lesion with thick wall and minimal internal septation. Although there is no nodular enhancement within this lesion, there is minimal complexity and internal enhancement. Additionally, this lesion appears to have a small taillike extension which connects to the pancreatic duct (700/27).The patient has pancreas divisum.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.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.Cystic lesion in the neck of the pancreas with thick wall, internal septations, and mild enhancement. This could represent a sidebranch IPMN or a mucinous lesion.2.Pancreas divisum.