59-year-old male with cirrhosis and IPMN. Please evaluate. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic morphology of the liver. No suspicious focal hepatic lesions. No intra-or extra hepatic biliary ductal dilatation. Multiple subcentimeter foci of fluid signal intensity are to small to characterize, but likely represent simple cysts.SPLEEN: Splenic varices.PANCREAS: The reference T2 hyperintense, T1 hypointense, nonenhancing lesion in the uncinate process of the pancreas measures 3.8 x 2 .4 cm, previously 3.8 x 2.3 cm (image 25, series 5). No definite communication to the pancreatic duct is identified. The pancreatic duct is not dilated. No pancreatic atrophy is noted. ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No evidence of lymphadenopathy.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant ascites.
1.No significant interval change in the reference cystic lesion in the uncinate process of the pancreas. Differential considerations include a side branch IPMN as well as a macrocystic serous cystadenoma.2.Cirrhotic morphology of the liver, with no evidence of suspicious focal hepatic lesion.