76-year-old female with history of breast cancer and pancreatic mass. ABDOMEN:LIVER, BILIARY TRACT: No suspicious hepatic lesions. No intra or extra hepatic biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: The region of the pancreatic body/tail, there is a large well-circumscribed, multiloculated cystic lesion in a honeycomb pattern with enhancing internal septations. The contours are lobular with small foci of peripheral increased T1 signal abnormality measuring up to 11.4 x 9.0 cm in maximal axial dimensions. There is associated mass effect on the stomach anteriorly and the kidney posteriorly. The splenic vein is markedly narrowed, but patent.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: There is a minimally complex left upper pole cystic lesion with enhancing septations. Large left upper pole simple cyst. Other subcentimeter cysts are seen bilaterally.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.PELVIS:UTERUS, ADNEXA: Enlarged leiomyomatous uterus. Dilated and heterogeneous endometrial cavity measuring up to 20 mm.BLADDER: No significant abnormality noted.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. Large cystic lesion located in the pancreatic body most compatible with serous cystadenoma. There is adjacent mass effect on the stomach, kidney, and splenic vein.2. Enlarged fibroid uterus with dilated endometrial canal concerning for endometrial carcinoma. Tissue sampling is recommended for further evaluation.3. Minimally complex left upper pole renal cyst.