Reason: 64 YO male with hx of pancreas mass; please evaluate for changes and or abnormalities History: pancreas mass. ABDOMEN:LIVER, BILIARY TRACT: Hepatic steatosis. No focal hepatic lesion.SPLEEN: No significant abnormality noted.PANCREAS: Complex multiloculated cystic lesion with enhancing septations in the pancreatic head measures approximately 3.8 x 2.3 cm (series 4 image 30), previously 3.6 x 1.7 cm. This lesion again communicates with the pancreatic duct, which is mildly dilated measuring 5 mm, previously 4 mm. No new lesion.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: 3.5 cm solid nonenhancing lesion within the gastric body which follows fat on all sequences and compatible with an intramural lipoma has slightly increased in size, previously measuring 2.8 cm.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Slight interval increase in size of multiloculated cystic lesion in the pancreatic head that communicates with the mildly dilated pancreatic duct, these characteristics suggestive of a mixed main duct and side branch IPMN. Gastric lipoma.