IPMN follow-up. ABDOMEN:LIVER, BILIARY TRACT: Hepatic steatosis. Unchanged left hepatic cystic lesion measuring 5.6 x 4.5 cm with thin septations, unchanged since 2013, with no solid component or enhancement.SPLEEN: No significant abnormality noted.PANCREAS: Within the pancreatic head there is a T2 hypointense focus measuring 9 x 6 mm (series 11, image 22), too small to characterize, unchanged since 2013. This is distinct from the adjacent duodenal diverticulum. There is no pancreatic ductal dilatation.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Right lower pole renal cyst. No hydronephrosis.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Periampullary duodenal diverticulum appears unchanged.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Unchanged minimally complex hepatic cystic lesion, for which differential considerations include complex cyst, ciliated hepatic foregut cyst, biliary cystadenoma and biliary hamartoma.2.Unchanged pancreatic head lesion, may represent branch type IPMN.