Reason: hx of subcentimeter lesion in head of pancreas, recommended repeat imaging in 12 to 18 months to evaluate for size change History: hx ofsubcentimeter lesion in head of pancreas, recommended repeat imaging in 12 to 18 months to evaluate for size change ABDOMEN:LIVER, BILIARY TRACT: Hepatic steatosis. Couple T2 subcentimeter hyperintense lesions are too small to characterize, favor cysts or hemangiomas.SPLEEN: No significant abnormality noted.PANCREAS: Small T2 hyperintense lesion in the head of the pancreas previously measured 0.9 x 0.7 cm. Today, this lesion measures the same (4:40) with no suspicious enhancement or component.A few other T2 hyperintense foci also likely represent side branch IPMNs, grossly stable.ADRENAL GLANDS: Left adrenal gland hyperplasia.KIDNEYS, URETERS: Small amount of perinephric fluid, likely chronic. Couple subcentimeter hypointensities best seen on postcontrast phases are too small accurately characterize but appear to have vague T2 hyperintense signal, likely small cysts. RETROPERITONEUM, LYMPH NODES: Stable infrarenal aortic aneurysm measuring up to 3 cm (15:145)BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Stable subcentimeter lesion in the head of the pancreas favoring a side branch IPMN with no suspicious features. Other foci of T2 hyperintensities also likely represent side branch IPMNs as above.2.Hepatic steatosis.3.Stable infrarenal aortic aneurysm.