62-year-old male with a newly a history of pancreas cancer. EUS showed a pancreatic cyst, with some atypia. ABDOMEN:LIVER, BILIARY TRACT: No evidence of intra-or extrahepatic biliary ductal dilation. No focal mass lesions are identified. No gallstones or choledocholithiasis.SPLEEN: No significant abnormality noted.PANCREAS: The pancreas is atrophic suggestive of chronic pancreatitis. Note is made of multiple subcentimeter foci of fluid signal intensity in the head, body, and tail of the pancreas. There is a 6 mm cystic lesion in the tail of the pancreas. An additional cystic lesion in the body of the pancreas measures 5 mm. These findings may represent side branch IPMN versus cyst. There is no definitive communication with the main pancreatic duct. The main pancreatic duct is normal in size and appearance. There are no focal solid mass lesions or strictures identified. There is a normal response to secretin augmentation. 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: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Multiple cystic lesions in the pancreas, with reference measurements provided above. Differential considerations include side branch IPMNs or cysts. No stricture or focal solid mass lesions are identified. 2.Findings suggestive of chronic pancreatitis. 