Abdominal pain. Evaluate for acute pancreatitis and pseudocyst. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in morphology, signal intensity and size, measuring 17 cm in craniocaudal dimension. No focal suspicious lesion. No intra or extrahepatic biliary ductal dilatation.Status post cholecystectomy.The vessels are patent.SPLEEN: The spleen is normal in morphology, size, signal intensity and enhancement without focal lesion.PANCREAS: The pancreas is normal in morphology, signal intensity and enhancement. The main pancreatic duct is normal in caliber. Punctate cystic foci are too small to characterize, likely very small IPMNs. Normal variant ductal anatomy.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Small bilateral cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Round T12 vertebral body focus compatible with a benign hemangioma.OTHER: No significant abnormality noted.
1.No evidence of acute pancreatitis or complication of prior pancreatitis. 2.Punctate sub 2-mm cystic focus in the pancreatic head may represent a tiny side-branch IPMN without suspicious characteristics.