59-year-old male patient with ill-defined pancreatic lesion found on CT and jaundice. ABDOMEN:LIVER, BILIARY TRACT: There is hepatomegaly. There is questionable mild nodular contour of the liver suggestive of cirrhosis. The gallbladder is hydropic of uncertain etiology. The distal common bile duct is not well seen; a focal stricture is not excluded. However, no definite lesion is identified.SPLEEN: No significant abnormality noted.PANCREAS: There is a focus of increased T2 signal and corresponding signal void on subtraction sequences within the body of the pancreas (image 26, series 10) which most likely represents a sidebranch IPMN; this lesion correlation to finding made on prior CT exam. An additional small cystic focus is suggested in the pancreatic head. There is no significant pancreatic ductal dilatation.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: There is mild gastrohepatic, periportal and peripancreatic lymphadenopathy.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.At least two cystic foci within the pancreas with imaging characteristic most characteristic of sidebranch IPMNs (larger of these corresponds to hypodensity seen on prior CT). 2.Hydropic gallbladder of uncertain etiology and poorly visualized distal common bile duct without definite obstructing lesion; a distal CBD focal stricture is not excluded, although CBD is normal in size. 3.Questioned mild cirrhotic morphology of the liver. Mild gastrohepatic, periportal and peripancreatic lymphadenopathy may be reactive in etiology.