History of 3 mm pancreatic body cyst on outside CT. History of prostatectomy in 2008 for prostate cancer. Evaluate for abnormalities. ABDOMEN:LIVER, BILIARY TRACT: Few nonenhancing T2 hyperintense hepatic lesions are identified, compatible with cysts, the largest within segment 5 measures 2.7 x 1.7 cm. No enhancing hepatic lesion is identified. The liver is smooth in contour and normal in morphology. The portal and hepatic veins are patent. No biliary ductal dilatation is identified.SPLEEN: No significant abnormality noted.PANCREAS: There is a 9 mm cystic lesion arising from the pancreatic head (series 5, image 77) contiguous with a side branch of the main pancreatic duct, probable sidebranch IPMN. No pancreatic ductal dilatation is identified.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: There is a large lesion containing multiple cysts arising from the left lower pole measuring 14.2 x 12.4 cm (series 3, image 30), favor multilocular cystic nephroma given lack of enhancing or nodular components. Multiple right subcentimeter T2 hyperintense lesions are present, too small to characterize, but probable cysts. No hydronephrosis is identified.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Subcentimeter cystic lesion within the pancreatic head, probable IPMN.2.Large left renal cystic lesion, favor multilocular cystic nephroma, but unable to exclude cystic renal cell carcinoma.