Male 63 years old Reason: H/O 8 mm focal cystic pancreatic lesion. Evaluate for change. ABDOMEN:LIVER, BILIARY TRACT: Subcentimeter T2 hyperintensity in the left hepatic lobe is too small to characterize but likely represents a hepatic cyst.SPLEEN: No significant abnormality noted.PANCREAS: There is a 0.6 x 0.5 cm T2 hyperintense lesion again noted within the pancreatic body. This is in connection with the main pancreatic duct and likely represents a small side branch IPMN. The appearance is not significantly changed compared to prior study. There is a second T2 hyperintense lesion within the distal pancreatic body measuring 0.5 x 0.4 cm (series 11, image 13). This is also in connection with the main pancreatic duct and the appearance is suggestive of a second side branch IPMN.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Apparent gastric wall thickening is likely related to underdistention.BONES, SOFT TISSUES: No significant abnormality noted.
Stable appearance of a subcentimeter side branch IPMN in the pancreatic body. A second subcentimeter sidebranch IPMN is identified in the distal pancreatic body.