54-year-old male with fatty liver disease, liver and pancreatic lesion seen on outside CT scan. Assess for evidence of cirrhosis. Reassess liver and pancreatic lesions seen on outside CT scan. ABDOMEN:LIVER, BILIARY TRACT: Diffuse loss of signal of the hepatic parenchyma between the in and out of phase sequences compatible with hepatic steatosis. The subcentimeter nonenhancing T2 hyperintense focus in hepatic segment 6 (coronal series 6 image 42, axial series 12 image 29, axial series 19 image 310) correlates with the punctate hypodense focus on the outside CT exam and is most likely cystic. No intra or extrahepatic biliary ductal dilatation. The portal and splenic veins are patent. Unremarkable gallbladder. Normal liver morphology.SPLEEN: No significant abnormality noted.PANCREAS: No pancreatic ductal dilatation. The 0.6 x 0.5 cm cystic lesion of the pancreatic body (coronal series 600 image 24) is subadjacent to the main hepatic duct, however definite communication is not visualized.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral simple cysts. No hydronephrosis.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.Nonenhancing T2 hyperintense focus of hepatic segment 6 likely represents a punctate cyst. No suspicious hepatic lesions.2.The 0.6 x 0.5 cm cystic lesion of the pancreatic body is subadjacent to the pancreatic duct, however definite communication to the duct is not visualized. A sidebranch IPMN is favored versus a small mucinous cystic neoplasm.3.Hepatic steatosis.