Female 50 years old Reason: abnormal mri, monitoring pancreatic mass, History: none ABDOMEN:LIVER, BILIARY TRACT: Liver is normal in morphology. Numerous peribiliary cysts are present. There is slightly increased in size and number. There is a central cyst measuring 3 cm which compresses the central ducts with increasing intrahepatic biliary ductal dilatation from prior. Extrahepatic common bile duct is normal in caliber. No definite solid hepatic lesions.SPLEEN: No significant abnormality noted.PANCREAS: There are multiple pancreatic cystic lesions. The largest within the tail measuring 16mm previously , 18 mm. The lesion near the pancreatic head is also not significantly changed.No definite communication can be demonstrated with the adjacent pancreatic duct.ADRENAL GLANDS: Adrenal gland is nodular.KIDNEYS, URETERS: Multiple small bilateral renal cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Severe enlargement of the main pulmonary artery.
1.Mild progressive increase in the mild intrahepatic biliary ductal dilatation.2.Near stable size measurements of the cystic pancreatic tail lesion.