68-year-old female with pancreatic cancer status post resection (2006), evaluate uncinate process and distal pancreatic body hypoattenuating lesions. ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: Status post splenectomy.PANCREAS: Status post distal pancreatectomy. There is a T2 hyperintense cystic lesion communicating with the pancreatic duct the distal pancreas compatible with a sidebranch IPMN. Multiseptated, elongated and round cystic structure in the uncinate process with communication with the MPD is compatible with a sidebranch IMPN now measuring up to 3.2 cm in length, increased in size when compared to prior MR dated 6/22/10.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.Findings compatible with sidebranch IPMNs in the distal pancreas and uncinate process, both demonstrating interval increase in size when compared to prior examinations. Cyst aspiration of the uncinate process IPMN should be considered based on size criteria if not already performed. 