62-year-old female with history of IPMN. Evaluate for interval change. ABDOMEN:LIVER, BILIARY TRACT: A few scattered subcentimeter hepatic cysts are unchanged. No suspicious enhancing hepatic lesions. No intra or extrahepatic biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: There is been no significant interval change in several small cystic lesions seen throughout the pancreas, most consistent with small intraductal papillary mucinous neoplasms. The largest of these in the pancreatic head measures 1.2 x 1.0 cm (series 3, image 25), previously measuring 1.2 x 1.1 cm. There is no discrete enhancement of these lesions. The pancreatic duct is normal in caliber.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Stable nonspecific focal enhancement in the L1 vertebral body which may be degenerative in etiology. OTHER: No significant abnormality noted.
1.Stable pancreatic cystic lesions most consistent with branch type intraductal papillary mucinous neoplasms.2.Stable nonspecific focal enhancement in L1 vertebral body which may be degenerative in etiology. 