History of dilated pancreatic duct on MRCP, stricture, acute pancreatitis and cystic lesions in the pancreas. ABDOMEN:LIVER, BILIARY TRACT: Heterogeneous T2 hyperintensity of the peripheral posterior hepatic segment is unchanged. Stable 7 mm hepatic lobe cyst. No suspicious liver lesion.The liver is otherwise normal in morphology, size and signal intensity.Stable minimal intrahepatic biliary ductal irregularity.The portal vein is replaced by numerous collateral vessels in the hepatic hilum, unchanged.SPLEEN: The splenic vein is not well opacified and is suspected to be thrombosed. The spleen is normal in size. There are small gastroepiploic collateral vessels.PANCREAS: The pancreatic body/tail lobular cystic lesion measures 1.4 x 1.2 cm (series 3/19), not significantly changed from the prior where it measured 1.5 x 0.9 cm. It has internal thin enhancing septations. No mural nodularity or soft tissue enhancement. It does not definitively communicate with the main pancreatic duct which is normal in caliber.Approximately 7 mm pancreatic tail intermediate T2-weighted signal and low T1 weighted signal intensity lesion without enhancement.The pancreas demonstrates normal intrinsic T1-weighted signal. No evidence of acute inflammation. Demonstrated again is a stricture of the pancreatic tail with mild obstructive dilatation. Following secretin administration there is an adequate exocrine response with fluid extending to the level of the ligament of Treitz.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Simple appearing left renal cyst.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Mild atherosclerotic disease of the abdominal aorta without aneurysmal dilatation.OTHER: No significant abnormality noted.
1.1.4 x 1.2 cm pancreatic body/tail lobular cystic lesion with internal thin enhancing septations but no mural nodularity or other suspicious features. Stable nonspecific 7 mm cystic lesion in the pancreatic tail.2.Stable pancreatic duct stricture at the level of the pancreatic tail. 3.The portal vein is replaced by numerous small collateral vessels, unchanged. Suspected splenic vein thrombosis.