Possible sidebranch IPMN, evaluate for interval change ABDOMEN:LIVER, BILIARY TRACT: No intrahepatic or extrahepatic biliary duct dilatation. Right hepatic subcentimeter T2 hyperintense focus most likely a cyst, image 23 series 501.SPLEEN: Scattered vague T2 hypointensities again seen, nonspecific and unchanged.PANCREAS: Nondilated pancreatic duct, measures upper limits of normal. Stable 3 mm cystic focus in pancreatic body, most likely a sidebranch type intraductal papillary mucinous neoplasm, image 71 series 701.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Stable prominent peripancreatic lymph nodes, reference lymph node again measures 0.9 cm in maximum short axis, image 18 series 501.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Spinal degenerative disease and scoliosis. Lower thoracic right perineural cyst formation.OTHER: No significant abnormality noted.
Stable exam as described.