66-year-old male patient with epigastric abdominal pain, weight loss, pancreatitis, suspected pancreatic neoplasm status post EUS 6/29/2016 with a cystic lesion in pancreatic tail and diffuse echogenicity in pancreas. Study limited as multiple sequences are degraded by motion artifact.ABDOMEN:LIVER, BILIARY TRACT: The gallbladder is absent. There is mild intrahepatic biliary ductal dilatation which is presumably due to a postcholecystectomy state. No filling defects are identified within the common bile duct. No suspicious hepatic lesion is seen. The hepatic vasculature is patent. SPLEEN: No significant abnormality noted.PANCREAS: There are no signs of acute pancreatitis. No obvious pancreatic head lesion is seen. A lobulated cystic lesion in the pancreatic tail likely represents a sidebranch IPMN without complicated features. A few other scattered cystic lesions in the pancreas also likely represent punctate branch type cystic lesions. A 2.2 x 1.7 cm air and fluid containing structure near the ampulla is favored to represent an ampullary/duodenal diverticulum. 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: A subcutaneous cystic structure in the posterior right abdominal wall is again noted. There is thoracic lumbar orthopedic hardware.OTHER: No significant abnormality noted.
1.No suspicious pancreatic head mass. A cystic lesion in the tail of the pancreas likely represents a lobulated sidebranch IPMN with other punctate cystic branch type lesions elsewhere.2.An air/fluid containing structure near the ampulla is favored to represent an ampullary/duodenal diverticulum.