Reason: History of dilated pancreatic duct. No pancreas mass. 1 year surveillance per last MRI recommendations. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in morphology, signal intensity and size. Several subcentimeter hepatic cysts are again noted. The hepatic vasculature appears patent.There is no intrahepatic biliary ductal dilatation. The common bile duct measures up to 7 mm without an obstructing stone or discrete lesion. It tapers smoothly at the major ampulla. The gallbladder is within normal limits without cholelithiasis. SPLEEN: The spleen is normal in size and signal intensity without a discrete lesion.PANCREAS: The pancreas is normal in morphology signal intensity and enhancement. The main pancreatic duct remains minimally prominent, however it is better visualized today extending all the way into the pancreatic tail without evidence of stricture. The main pancreatic duct appears to drain at the major ampulla.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No hydronephrosis. Bilateral renal cysts. Intrinsically T1 weighted hyperintense lesion in the right superior pole demonstrates no enhancement on subtraction images and is compatible with a proteinaceous/hemorrhagic cyst. No suspicious renal lesions.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.Stable nonenhancing lesion in the right kidney compatible with a hemorrhagic/proteinaceous cyst.2.No evidence of pancreatic duct stricture as previously questioned.