Male 63 years old with a history of of pancreatic cyst s/p EUS 12/6/16 with small 10mm uncinate lesion essentially unchanged compared to EUS in 2013, unclear if more solid. Evaluate for neuroendocrine vs cystic/IPMN. ABDOMEN:LIVER, BILIARY TRACT: Within hepatic segment 7/8 is a 12 x 8 mm T2 hyperintense lesion with small septations that demonstrate questionable enhancement (series 3, image 14). This may represent a complex cyst. Hepatic steatosis. The hepatic vasculature is patent.No intra or extrahepatic biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: There is a 10 x 10 mm T2 hypointense, enhancing lesion in the uncinate process of the pancreas corresponding to the previously seen hypervascular lesion on CT (series 11, image 384). The pancreatic duct is normal in caliber.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No retroperitoneal lymphadenopathy.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Enhancing lesion in the uncinate process most is compatible with islet cell tumor.2.Hepatic segment 7/8 lesion most likely represents a complex cyst.3.Hepatic steatosis.